Organization Active NPI

Lydia Rabinowich MD PC

  • Neurology Physician
  • Bronx, NY
National Provider Identifier
1356615702
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LYDIA RABINOWICH MD PC
Practice address
1250 Waters PL
Suite 1203
Bronx, NY 10461-2720
Phone
(718) 409-4044
Fax
(718) 792-6515
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lydia Rabinowich, MD
Title
President
Phone
(718) 409-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1250 Waters PL
Suite 1203
Bronx, NY 10461-2720

Mailing address

1250 Waters PL
Suite 1203
Bronx, NY 10461-2720
Phone (718) 409-4044

Other identifiers 1

IdentifierTypeStateIssuer
01111095MedicaidNY

National Provider Directory

National Provider Directory

Locations

2500 Saint Raymonds Ave
Ste 204
Bronx, NY 10461
Phone (718) 409-4044

1250 Waters Pl
Ste 1203
Bronx, NY 10461
Phone (718) 239-6987

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1356615702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-4044",
            "fax_number": "718-792-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-4044",
            "fax_number": "718-792-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA RABINOWICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "RABINOWICH",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-409-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01111095",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.