Afsoon Razavi, MD

Key facts

NPI

1447812482

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

317905 (NY)

Practice address

325 E Main St Ste 120
Patchogue, NY 11772-3114

Phone

(631) 654-3278

Fax

(631) 654-1474

NPI assigned

Jun 30, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Brookhaven Heart PLLC Cardiovascular Disease Physician · Patchogue, NY · NPI 1639260607
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · NY
• MD 365 Medical Care PLLC Family Medicine Physician · Shirley, NY · NPI 1841531142
  NPD (past) INTERNAL MEDICINE

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brookhaven Heart PLLC (24 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 6)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2024.

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1447812482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST STE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST STE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAVI",
        "first_name": "AFSOON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "317905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

• Ramin Azarm LCSW P.C.
• Louise A Ramsey, SLP
• Malavika Srinivas Rao, RPT
• Taffie Ray, LPN
• Rivkah Raza, D.O.
• Tehilla Razla
• David N. Reavis, M.D.
• Rebecca Leigh Massage Therapy PC
• Recap Optical,Corp
• Kennedy Redmond

All providers in Patchogue, NY · Internal Medicine Physician in New York