Rayco Medical PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

123456789 Issued in NY

Legal business name

RAYCO MEDICAL PLLC

Practice address

2035 Lakeville Rd
Suite 300
New Hyde Park, NY 11040-1600

Phone

(516) 492-3309

Fax

(516) 492-3299

NPI assigned

Feb 22, 2012

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jahan S. Roofeh, M.D.

Title

Medical Director

Phone

(516) 492-3309

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1750654745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401600",
            "telephone_number": "516-492-3309",
            "fax_number": "516-492-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401600",
            "telephone_number": "516-492-3309",
            "fax_number": "516-492-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYCO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "ROOFEH",
        "authorized_official_first_name": "JAHAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-492-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "123456789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ardeshir Rustom Rastinehad, D.O.
• Swathi Ratkal, MBBS
• Raveena Medical PC
• Saiganesh Ravikumar
• Thanjavur Ravikumar, MD
• Rayn Healthcare Alliance Ipa, LLC
• Seeme Raza, MD
• Syed Abbas Raza
• Bibi Shelleza Razack, MD
• Neelofar Razack, LPN

• Specialist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.