Organization Active NPI

Raza Medical Practice PLLC

  • Primary Care Clinic/Center
  • Oyster Bay, NY
National Provider Identifier
1508684663
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RAZA MEDICAL PRACTICE PLLC
Practice address
188 W Main St
Oyster Bay, NY 11771-2267
Phone
(347) 556-0757
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Seeme Raza, MDNPI 1609238112
Title
Ceo
Phone
(347) 556-0757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

188 W Main St
Oyster Bay, NY 11771-2267

Mailing address

188 W Main St
Oyster Bay, NY 11771-2267
Phone (347) 556-0757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120002896 NY Part B Supplier - Clinic/Group Practice 2365977857 Receives reassigned benefits from 1 practitioner
Practice locations: Oyster Bay, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2317500Raza Medical Practice PLLC188 W Main St Suite B, Oyster Bay, NY 11771Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1508684663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712267",
            "telephone_number": "347-556-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712267",
            "telephone_number": "347-556-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SEEME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-556-0757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.