Shera Raisen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G077477 Issued in CA

Practice address

535 5TH Ave RM 603
New York, NY 10017-8009

Phone

(646) 200-5750

Fax

(833) 322-1167

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Avenue Medical Wellness PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1033885199
  NPD
• Avenue Medical Wellness PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1871252890
  NPD
• Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC

  • Gynecology Physician
  • New York, NY
  • NPI 1710022140
  NPD (past)
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Woodland Hills, CA
  • NPI 1083063127
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1669515649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE RM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178009",
            "telephone_number": "646-200-5750",
            "fax_number": "833-322-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE RM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178009",
            "telephone_number": "646-200-5750",
            "fax_number": "833-322-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Santa Monica Blvd 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "90069",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAISEN",
        "first_name": "SHERA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-03-16",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G077477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Rainford, PH.D.
• Karen Joylyn Rainford, FNP-BC
• Rainier Center for Health and Wellness, LLC
• Rainier Center, LLC
• Nathan Philip Rainwater
• Arthur Raisfeld, DC
• Kristen Elise Raisner
• Prachi Raisoni
• Farbod Raiszadeh, MD, PHD
• Anthony Valentine Raiteri, MD

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.