Organization Active NPI

Raffi Barsoumian MD PLLC

  • General Practice Physician
  • Melville, NY
National Provider Identifier
1578862587
Registry record updated Mar 17, 2011
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 PLLC
Practice address
1895 Walt Whitman Rd
Melville, NY 11747-3031
Phone
(516) 287-1120
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 240858 NY Primary

Addresses

Primary practice location

1895 Walt Whitman Rd
Melville, NY 11747-3031

Mailing address

1 Blue Hill PLZ
Pearl River, NY 10965-3104
Phone (516) 287-1120

National Provider Directory

National Provider Directory

Locations

1 Blue Hill Plz
Pearl River, NY 10965
Phone (845) 675-7979

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1578862587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653104",
            "telephone_number": "516-287-1120",
            "fax_number": "888-411-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473031",
            "telephone_number": "516-287-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI BARSOUMIAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "240858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.