Hong T-L Raphael, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

183386-1 Issued in NY

Practice address

380 Guy Park Ave
St. Mary's Hospital, Fam HLTH CNTR @ Carondelet Pavilio
Amsterdam, NY 12010-1055

Phone

(518) 841-7415

Fax

(518) 841-7422

NPI assigned

Jul 18, 2005

Last updated

Sep 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1578562054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.",
            "address_2": "ST. MARY'S HOSPITAL @ AMSTERDAM",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GUY PARK AVE",
            "address_2": "ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101055",
            "telephone_number": "518-841-7415",
            "fax_number": "518-841-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "HONG",
        "middle_name": "T-L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183386-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "8234",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10002696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proshanta Saha, M.D., P.C.
• Quality Hearing Insturments LLC (Miracle Ear)
• Wendy Marie Quay
• Nancy A Radigan, D.C.
• Govind C K Rao, MD
• Maria Encarnacion Regal, DDS
• Hafeez Ur Rehman, M.D.
• Hamid Aziz Rehman, MD
• Patricia Reksc, MSED, CCC-SLP
• Julia Rhodes, FNP-BC

• Family Medicine Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.