Active NPI
Irina Raklyar, MD
- Rheumatology Physician
- Franklin Lakes, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA08699100
- Practice address
- 784 Franklin Ave
Franklin Lakes, NJ 07417 - Phone
- (844) 777-0910
- Fax
- (201) 560-0712
- NPI assigned
- Feb 21, 2007
- Last updated
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA08699100 | NJ | Primary |
Addresses
Primary practice location
784 Franklin Ave
Franklin Lakes, NJ 07417
Mailing address
784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910
Other practice location 1
871 Allwood Rd
Clifton, NJ 07012-1943
Phone (973) 405-5163
Other names 1
- Mrs. Irina Serebnitsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- State University of New York Downstate Medical Center, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
185 Route 17 S
Suite 101
Paramus, NJ 07652
Phone (844) 777-0910
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayal Orthopaedic Center, P.C. | Current | Accepting new patients | |
| Kayal Medical Group, LLC | Rheumatology | Current | Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711
266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711
185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711
543 45th St
Union City, NJ 07087
Phone (201) 662-5437
250 Old Hook Rd
Ste 401
Westwood, NJ 07675
Interoperability endpoints
- iraklyar285133@ahs.direct-ci.com
- irina.raklyar@ko.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kayal Orthopaedic Center
- Orthopaedic Surgery Physician
- Franklin Lakes, NJ
- NPI 1528729159
Rheumatology
-
- Orthopaedic Surgery Physician
- Franklin Lakes, NJ
- NPI 1427014083
-
dba St. Charles Medical Supply - Redmond
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1356486831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 FRANKLIN AVE",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171306",
"telephone_number": "844-777-0910",
"fax_number": "201-560-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 FRANKLIN AVE",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "07417",
"telephone_number": "844-777-0910",
"fax_number": "201-560-0712"
}
],
"practiceLocations": [
{
"address_1": "871 Allwood Rd",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070121943",
"country_code": "US",
"telephone_number": "973-405-5163",
"fax_number": "973-365-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAKLYAR",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA08699100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRINA",
"last_name": "SEREBNITSKY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.