Raisa Novofastovsky

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N 004903 Issued in NY

Practice address

1812 Quentin Rd
Suite M-2
Brooklyn, NY 11229-1336

Phone

(718) 382-1773

Fax

(718) 382-3214

NPI assigned

Feb 9, 2006

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

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

84.34

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1710950878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 QUENTIN RD",
            "address_2": "SUITE M-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291336",
            "telephone_number": "718-382-1773",
            "fax_number": "718-382-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 QUENTIN RD",
            "address_2": "SUITE M-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291336",
            "telephone_number": "718-382-1773",
            "fax_number": "718-382-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOFASTOVSKY",
        "first_name": "RAISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N 004903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01250811",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3603491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "214483P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niloufar Novin
• Michelle Marie Novitsky, LMHC
• Novo Dialysis Flatlands LLC
• Robert M Novo, DDS
• Aaron Dangelo Novoa
• Haviva Novogroder, MS SP ED
• Juliana Novoseletsky
• Novurise LLC
• Anna Nowak, OT
• Anna Nowak

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.