Individual provider Active NPI

Dahlia Rafii, MD

  • Pediatrics Physician
  • Great Neck, NY
National Provider Identifier
1366831737
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
262422 Issued in NY
Practice address
528 E Shore Rd
Great Neck, NY 11024-1543
Phone
(516) 987-7691
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 262422 NY Primary

Addresses

Primary practice location

528 E Shore Rd
Great Neck, NY 11024-1543

Mailing address

528 E Shore Rd
Great Neck, NY 11024-1543
Phone (516) 987-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930003152 NY Practitioner - Pediatric Medicine 7517275191 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262422NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Oct 7, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 7, 2025 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Aug 1, 2015 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

26901 76th Ave
Rm CH5
New Hyde Park, NY 11040
Phone (516) 727-0960

300 Community Dr
Plandome, NY 11030

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1366831737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241543",
            "telephone_number": "516-987-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241543",
            "telephone_number": "516-987-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFII",
        "first_name": "DAHLIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "262422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.