Prema Latha Rayappa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

210838 Issued in NY

Practice address

17900 Linden Blvd
Jamaica, NY 11425-2128

Phone

(718) 526-1000

NPI assigned

Feb 13, 2007

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1417099300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114250001",
            "telephone_number": "718-526-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114252128",
            "telephone_number": "718-526-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAPPA",
        "first_name": "PREMA",
        "middle_name": "LATHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "210838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunta Sherelle Rattigan
• Alan Robert Rattiner, B.S. PHARMACIST
• Yvonne Grace Rattray, OTR/L
• Shanelle Raugh, DO
• Mewal Das Rawlani I, RPH
• Faroule Raymond
• Aunetrius Raysor
• Donna Raysor, RPH
• Maya Rayzman, MD
• RCS Occupational Therapy , PC

• Psychiatry Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.