Organization Active NPI

RJ Masakayan MD PC

  • Anesthesiology Physician
  • Setauket, NY
National Provider Identifier
1407009095
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2114121 Issued in NY
Legal business name
RJ MASAKAYAN MD PC
Practice address
32 Setalcott PL
Setauket, NY 11733-1326
Phone
(631) 246-9276
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Raul Jose Masakayan, M.D.
Title
Physician
Phone
(631) 246-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 2114121 NY Primary

Addresses

Primary practice location

32 Setalcott PL
Setauket, NY 11733-1326

Mailing address

32 Setalcott PL
Setauket, NY 11733-1326
Phone (631) 246-9276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1407009095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SETALCOTT PL",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331326",
            "telephone_number": "631-246-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SETALCOTT PL",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331326",
            "telephone_number": "631-246-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ MASAKAYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MASAKAYAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-246-9276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2114121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.