Organization Active NPI

Frederic Rakowitz, M.D., PH.D., PC

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1467765685
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FREDERIC RAKOWITZ, M.D., PH.D., PC
Practice address
295 Northern Blvd
Suite 208
Great Neck, NY 11021-4701
Phone
(516) 482-4940
Fax
(516) 482-4913
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Frederic Rakowitz, M.D., PH.D.
Title
President
Phone
(516) 482-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

295 Northern Blvd
Suite 208
Great Neck, NY 11021-4701

Mailing address

295 Northern Boulevard
Suite 208
Great Neck, NY 11021
Phone (516) 482-4940

National Provider Directory

National Provider Directory

Locations

295 Northern Blvd
Ste 208
Great Neck, NY 11021
Phone (516) 482-4940

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1467765685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NORTHERN BOULEVARD",
            "address_2": "SUITE 208",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-482-4940",
            "fax_number": "516-482-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NORTHERN BLVD",
            "address_2": "SUITE 208",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214701",
            "telephone_number": "516-482-4940",
            "fax_number": "516-482-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC RAKOWITZ, M.D., PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "RAKOWITZ",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-482-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.