Organization Active NPI

Raphael J. Osheroff, M.D.' F.a.C.P., P.C.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1609906924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
175535-1 Issued in NY
Legal business name
RAPHAEL J. OSHEROFF, M.D.' F.A.C.P., P.C.
Practice address
639 Sinclair Ave
Staten Island, NY 10312-2643
Phone
(718) 966-7940
Fax
(718) 966-4382
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laura Unger
Title
Office Manager
Phone
(718) 967-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 175535-1 NY Primary

Addresses

Primary practice location

639 Sinclair Ave
Staten Island, NY 10312-2643

Mailing address

639 Sinclair Ave
Staten Island, NY 10312-2643
Phone (718) 966-7940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609906924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SINCLAIR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122643",
            "telephone_number": "718-966-7940",
            "fax_number": "718-966-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SINCLAIR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122643",
            "telephone_number": "718-966-7940",
            "fax_number": "718-966-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL J. OSHEROFF, M.D.' F.A.C.P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-967-4646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.