Organization Active NPI

Yakov Raufov Medical PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1497839799
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221186 Issued in NY
Legal business name
YAKOV RAUFOV MEDICAL PC
Practice address
2626 E 14TH St Ste 204
Brooklyn, NY 11235-3968
Phone
(718) 339-4448
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mrs. Anna Loshinsky
Title
Office Manager
Phone
(718) 339-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 221186 NY Primary

Addresses

Primary practice location

2626 E 14TH St Ste 204
Brooklyn, NY 11235-3968

Mailing address

2066 W 5TH St
Brooklyn, NY 11223-3835
Phone (718) 339-4448

Other practice location 1

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 723-9305

Other identifiers 1

IdentifierTypeStateIssuer
02671474MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000837 NY Part B Supplier - Clinic/Group Practice 4587629415 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Great Neck, NY; Locust Valley, NY; Rego Park, NY; Roslyn Heights, NY

National Provider Directory

National Provider Directory

Locations

1701 Quentin Rd
Ste A7
Brooklyn, NY 11229
Phone (718) 339-4448

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1497839799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233835",
            "telephone_number": "718-339-4448",
            "fax_number": "718-339-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353968",
            "telephone_number": "718-339-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Birch Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Locust Valley",
            "state": "NY",
            "postal_code": "115601833",
            "country_code": "US",
            "telephone_number": "516-723-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YAKOV RAUFOV MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-27",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "LOSHINSKY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-339-4448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "221186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02671474",
            "state": "NY"
        }
    ],
    "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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.