Active NPI
Yakov Raufov Medical PC
- Specialist
- Brooklyn, NY
National Provider Identifier
1497839799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 221186
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02671474 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1538474341
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- NPI 1942441837
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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.