Raffi Barsoumian MD Medical Services PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

RAFFI BARSOUMIAN MD MEDICAL SERVICES PC

Practice address

3 W Main St
Bay Shore, NY 11706-8307

Phone

(833) 248-6800

NPI assigned

Dec 10, 2018

Last updated

Dec 10, 2018By the provider in NPPES

Organization subpart

No

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

(833) 248-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1598236051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068307",
            "telephone_number": "833-248-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068307",
            "telephone_number": "833-248-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI BARSOUMIAN MD MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "BARSOUMIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-248-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "240858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in New York

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