NPIMap

Organization Active NPI

Valentin Raksin, O.D., PC

  • Health Service Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1740549443
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
TUV006253-1 Issued in NY
Legal business name
VALENTIN RAKSIN, O.D., PC
Practice address
1823 Avenue M
Brooklyn, NY 11230-5308
Phone
(718) 377-5649
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Valentin Raksin, ODNPI 1619074200
Title
President
Phone
(718) 377-5649

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X TUV006253-1 NY Primary
Health Service Clinic/Center 261QH0100X 27OA00578000 NJ

Addresses

Primary practice location

1823 Avenue M
Brooklyn, NY 11230-5308

Mailing address

426 Danbury LN
East Brunswick, NJ 08816-5116

Other identifiers 2

IdentifierTypeStateIssuer
02087227MedicaidNY
8933308MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1740549443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 DANBURY LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305308",
            "telephone_number": "718-377-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTIN RAKSIN, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "RAKSIN",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-377-5649",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "TUV006253-1",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "27OA00578000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02087227",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933308",
            "state": "NJ"
        }
    ],
    "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 May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.