Active NPI
Raisa Tsvaygenbaum
- Foot & Ankle Surgery Podiatrist
- Lake Katrine, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006874-1
- Practice address
- 1561 Rte 9W
Lake Katrine, NY 12449 - Phone
- (845) 231-5600
- Fax
- (845) 339-1197
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006874-1 | NY | Primary |
Addresses
Primary practice location
1561 Rte 9W
Lake Katrine, NY 12449
Mailing address
56 Victoria Way
Albany, NY 12209
Phone (518) 248-7906
Other practice location 1
355 Bard Ave
Staten Island, NY 10310-1664
Phone (518) 248-7906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171004002011 | NY | Practitioner - Podiatry | 8325313125 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Medical Care PCAndrew Hune DPM PLLC
Practice addresses (Care Compare)
6734 Route 9
Rhinebeck, NY 12572-3724
Phone (845) 231-5600
713 Troy Schenectady Rd
Suite 222
Latham, NY 12110-2490
Phone (518) 439-0423
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Samaritan Hospital of Troy, New York
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 168 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 399 |
| Removal or shaving of skin growth | 67 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006874-1 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Hune DPM, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Andrew Hune, DPM PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
995 State St
Albany, NY 12203
Phone (518) 438-3544
1971 Western Ave
Ste 100
Albany, NY 12203
Phone (518) 869-6220
4 Atrium Dr
Ste 250
Albany, NY 12205
Phone (518) 439-0423
261 Delaware Ave
Delmar, NY 12054
Phone (518) 439-0423
713 Troy Schenectady Rd
Ste 222
Latham, NY 12110
Phone (518) 439-0423
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
2317 Balltown Rd
Ste 102
Niskayuna, NY 12309
Phone (518) 374-2468
6734 Route 9
Rhinebeck, NY 12572
Phone (845) 876-3202
Philadelphia, PA 19195
Interoperability endpoints
- rtsvaygenbaum143874@direct.optum.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Kingston, NY
- NPI 1720341787
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629489166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 VICTORIA WAY",
"city": "ALBANY",
"state": "NY",
"postal_code": "12209",
"telephone_number": "518-248-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 RTE 9W",
"city": "LAKE KATRINE",
"state": "NY",
"postal_code": "12449",
"telephone_number": "845-231-5600",
"fax_number": "845-339-1197"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103101664",
"country_code": "US",
"telephone_number": "518-248-7906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSVAYGENBAUM",
"first_name": "RAISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006874-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Katrine, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.