Ray Chavdar Rezano, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

010061 Issued in NY

Practice address

656 Pennsylvania Ave
Brooklyn, NY 11207-6907

Phone

(718) 342-2446

Fax

(718) 591-0265

NPI assigned

Sep 29, 2009

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

State licenses

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.

• Alpha-K Family Medical Practice P.C.

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1659378172
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1437483187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852624",
            "telephone_number": "347-229-5117",
            "fax_number": "718-342-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076907",
            "telephone_number": "718-342-2446",
            "fax_number": "718-591-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZANO",
        "first_name": "RAY",
        "middle_name": "CHAVDAR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Reynoso, PA-C
• Kateryna Reyzin
• Reza Alizadeh Chiropractic, PC
• Sara Joy Rezak, OTR/L
• Natavan Rezakova, PHARMD
• Armeen Rezazadah
• Kirsten Rezende Lopes, LCSW
• Larissa Rezhets, RPH
• Meriam Rezika
• Omar Rezika, DPT

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.