Individual provider Active NPI

Judith Raghubir, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1518601301
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F34936701 Issued in NY
Practice address
1 Hollow LN
New Hyde Park, NY 11042-1220
Phone
(516) 365-6100
Fax
(516) 365-0374
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F34936701 NY Primary

Addresses

Primary practice location

1 Hollow LN
New Hyde Park, NY 11042-1220

Mailing address

76 Central Ave
Lynbrook, NY 11563-1506
Phone (516) 510-3358

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823003279 NY Practitioner - Nurse Practitioner 4789067794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trusha Shah MD PCGroup PAC ID 3375956204, 2 clinicians

Practice addresses (Care Compare)

4273 Hempstead Tpke
Bethpage, NY 11714-5710
Phone (516) 605-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F34936701NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jul 8, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 8, 2022 Accepting new patients
Trusha Shah MD PC CurrentSince Jul 10, 2025 Accepting new patients
Long Island Medical Interventional Services PLLC PastSince Aug 8, 2021 Accepting new patients

Locations

4273 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 579-5800

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1518601301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CENTRAL AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631506",
            "telephone_number": "516-510-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-365-6100",
            "fax_number": "516-365-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUBIR",
        "first_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F34936701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.