Organization Active NPI

R.a.F. Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1740345396
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181531 Issued in NY
Legal business name
R.A.F. MEDICAL PC
Practice address
8785 14TH Ave Apt 3B
Brooklyn, NY 11228-3847
Phone
(646) 773-4772
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Richard Funaro, MDNPI 1831269810
Title
Physician
Phone
(646) 773-4772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 181531 NY Primary

Addresses

Primary practice location

8785 14TH Ave Apt 3B
Brooklyn, NY 11228-3847

Mailing address

8785 14TH Ave Apt 3B
Brooklyn, NY 11228-3847
Phone (646) 773-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000233 NY Part B Supplier - Clinic/Group Practice 1254438559 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

511 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 836-6330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1740345396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 14TH AVE APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283847",
            "telephone_number": "646-773-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 14TH AVE APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283847",
            "telephone_number": "646-773-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.A.F. MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FUNARO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-773-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.