Raafat Gorgy, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67071 Issued in CT

Practice address

690 Main St S
Southbury, CT 06488-2267

Phone

(203) 264-6503

NPI assigned

Oct 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NJ2 enrollments

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 2

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 25 PCGroup PAC ID 3072842442, 4 clinicians

Ritu Suri MD, LLCGroup PAC ID 3779585567, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Christian Health Care Center Nursing home, Wyckoff, NJ, CCN 315376

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Ritu Suri MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tenafly, NJ
  • NPI 1972656353
  Medicare reassignment Care Compare group NPD
• Pai Participant 25 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Phillipsburg, NJ
  • NPI 1568028314
  Medicare reassignment Care Compare group
• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christian Health Care Center

  • Skilled Nursing Facility
  • Wyckoff, NJ
  • NPI 1427047232

  Nursing home

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1700137734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882267",
            "telephone_number": "475-244-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882267",
            "telephone_number": "203-264-6503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 West Sherman Avenue",
            "address_2": "South Jesey Healthcare-RMC",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "08360",
            "country_code": "US",
            "telephone_number": "856-641-7675",
            "fax_number": "856-575-4944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORGY",
        "first_name": "RAAFAT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "67071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Gerowe, PT
• Gregory David Gersten, MD
• Reba Goodrow, APRN
• Charlotte Gooler, OT
• Alexis Gopal, MD
• Kathryn Grabowski, LCSW
• Grade a Shoprite of Southbury LLC (Shoprite Pharmacy)
• Artavia Graham
• Jeffrey Robert Grasson, DPT
• Jason Gray, LPC, LADC

• Family Medicine Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.

Verify at the official NPI Registry.