Individual provider Active NPI

Pauline Raitses, D.O

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1659533263
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
264999 Issued in NY
Practice address
1928 Bay Ave
Brooklyn, NY 11230-6214
Phone
(347) 462-2224
Fax
(347) 462-2227
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 264999 NY Primary

Addresses

Primary practice location

1928 Bay Ave
Brooklyn, NY 11230-6214

Mailing address

1928 Bay Ave
Brooklyn, NY 11230-6214

Other identifiers 1

IdentifierTypeStateIssuer
OT012411OtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000521 NJ Practitioner - Physical Medicine and Rehabilitation 2062668932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Morton PL
Jersey City, NJ 07305-1605
Phone (908) 344-9644

550 N Broad St
Elizabeth, NJ 07208-3302
Phone (908) 344-9644

675 Garfield Ave
Jersey City, NJ 07305-4239
Phone (201) 333-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pauline Raitses DO PC CurrentSince Jan 13, 2014 Accepting new patients
Tipul Medical P.C. Pain Medicine Current Accepting new patients

Locations

550 N Broad St
Elizabeth, NJ 07208
Phone (908) 469-6233

675 Garfield Ave
Jersey City, NJ 07305
Phone (201) 200-1616

2305 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-0297

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1659533263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214",
            "telephone_number": "347-462-2224",
            "fax_number": "347-462-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAITSES",
        "first_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "264999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OT012411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.