Roni Rafailov NP Family Health PC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

RONI RAFAILOV NP FAMILY HEALTH PC

Practice address

21805 Grand Central Pkwy
Queens Village, NY 11427-1435

Phone

(718) 864-5734

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Roni RafailovNPI 1184191801

Title

Owner

Phone

(718) 864-5734

Specialties & licenses 2

Addresses

Practitioners 1

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

• Roni Rafailov

  • Family Nurse Practitioner
  • Forest Hills, NY
  • NPI 1184191801
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1528894268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21805 GRAND CENTRAL PKWY",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21805 GRAND CENTRAL PKWY",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271435",
            "telephone_number": "718-864-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONI RAFAILOV NP FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "RAFAILOV",
        "authorized_official_first_name": "RONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-864-5734"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iveth Y Rodriguez
• Natalie Rodriguez
• Cliff Rogers, D.D.S.
• Giuseppe Vincenzo Romano, LMSW
• Wesner Romulus
• Elena Roper, LPN
• Allison Rose, RN
• Robin Rosenberg, LMSW
• David Ian Rosenfeld, OTR/L
• Madonna Ross

• Family Health Clinical Nurse Specialist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Family Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.