Active NPI
Raisa Toumanova, M.D.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1538216320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 225064
- Practice address
- 1670 E 17TH St
Suite 2B/2C
Brooklyn, NY 11229-1281 - Phone
- (718) 676-1633
- Fax
- (718) 676-1635
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 225064 | NY | Primary |
Addresses
Primary practice location
1670 E 17TH St
Suite 2B/2C
Brooklyn, NY 11229-1281
Mailing address
20 Ocean CT
Apartment 7-a
Brooklyn, NY 11223-6054
Phone (718) 382-7235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02398121 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225064 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1619056314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1538216320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OCEAN CT",
"address_2": "APARTMENT 7-A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236054",
"telephone_number": "718-382-7235",
"fax_number": "718-382-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 E 17TH ST",
"address_2": "SUITE 2B/2C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291281",
"telephone_number": "718-676-1633",
"fax_number": "718-676-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUMANOVA",
"first_name": "RAISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "225064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02398121",
"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 Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.