Organization Active NPI

Raffi Barsoumian MD Medical Treatments PC

  • General Practice Physician
  • Howard Beach, NY
National Provider Identifier
1548769029
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
240858 Issued in NY
Legal business name
RAFFI BARSOUMIAN MD MEDICAL TREATMENTS PC
Practice address
15817 97TH St
Howard Beach, NY 11414-3228
Phone
(718) 845-5252
Fax
(718) 845-6464
NPI assigned
Feb 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Dr. Raffi Barsoumian, M.D.
Title
Owner
Phone
(516) 287-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 240858 NY Primary

Addresses

Primary practice location

15817 97TH St
Howard Beach, NY 11414-3228

Mailing address

228 E Route 59 Ste 248
Nanuet, NY 10954-2905
Phone (516) 287-1120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1548769029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E ROUTE 59 STE 248",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "516-287-1120",
            "fax_number": "718-845-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15817 97TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143228",
            "telephone_number": "718-845-5252",
            "fax_number": "718-845-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI BARSOUMIAN MD MEDICAL TREATMENTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "BARSOUMIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-287-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "240858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.