Jacob Raziyev, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

006457 Issued in NY

Practice address

7815 Eliot Ave
Middle Village, NY 11379-1300

Phone

(718) 458-8944

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Pinnacle Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Garden City, NY
  • NPI 1821319336
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407870157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 271ST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401504",
            "telephone_number": "718-347-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791300",
            "telephone_number": "718-458-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZIYEV",
        "first_name": "JACOB",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "006457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teofilo Rabanera Jr., PTA
• Raj Sleep & Pulmonary Medicine P.C.
• Ashok K Rajput, MD
• Nadia Samantha Ramirez
• John Rantinella, DPT
• Reach Physical Therapy PLLC
• Christine Reinicke
• Renato Yu M.D. F.a.a.P., P.C.
• Renee Gerber Physical Therapy PC
• Resiliency Express LCSW PC

• Surgical Physician Assistant in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.