Afsoon Razavi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

317905 Issued in 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

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 PLLCGroup PAC ID 6305846114, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookhaven Heart PLLC

  • Cardiovascular Disease Physician
  • Patchogue, NY
  • NPI 1639260607

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• MD 365 Medical Care PLLC

  • Family Medicine Physician
  • Shirley, NY
  • NPI 1841531142

  Internal Medicine

  NPD (past)

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

{
    "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": []
}

• 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 (Cohen's Fashion Optical)
• Kennedy Redmond

• Internal Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.