Active NPI
Raji Masoud, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1407527617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 826538
- Practice address
- 2170 Fredrick Douglas Blvd
New York, NY 10026 - Phone
- (212) 666-3013
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 826538 | NY | Primary |
Addresses
Primary practice location
2170 Fredrick Douglas Blvd
New York, NY 10026
Mailing address
2980 Briggs Ave Apt 4G
Bronx, NY 10458-2000
Phone (347) 375-6822
Other practice location 1
30 Hunter Ln
Camp Hill, PA 17011-2400
Phone (800) 748-3243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 826538 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1407527617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 BRIGGS AVE APT 4G",
"city": "BRONX",
"state": "NY",
"postal_code": "104582000",
"telephone_number": "347-375-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 FREDRICK DOUGLAS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10026",
"telephone_number": "212-666-3013"
}
],
"practiceLocations": [
{
"address_1": "30 Hunter Ln",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112400",
"country_code": "US",
"telephone_number": "800-748-3243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASOUD",
"first_name": "RAJI",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "826538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.