Organization Active NPI

Ravich Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1417340209
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278237 Issued in NY
Legal business name
RAVICH MEDICAL SERVICES PC
Practice address
3858 Nostrand Ave
Ste 101
Brooklyn, NY 11235-2050
Phone
(718) 676-7501
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Marina Ravich, MD
Title
Medical Director
Phone
(718) 676-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 278237 NY Primary

Addresses

Primary practice location

3858 Nostrand Ave
Ste 101
Brooklyn, NY 11235-2050

Mailing address

3858 Nostrand Ave
Ste 101
Brooklyn, NY 11235-2050
Phone (718) 676-7501

National Provider Directory

National Provider Directory

Locations

3858 Nostrand Ave
Ste 101
Brooklyn, NY 11235
Phone (718) 676-7501

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1417340209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 NOSTRAND AVE",
            "address_2": "STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352050",
            "telephone_number": "718-676-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 NOSTRAND AVE",
            "address_2": "STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352050",
            "telephone_number": "718-676-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVICH MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "RAVICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-676-7501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.