Raymond Luke Soletic, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

158333-1 Issued in NY

Practice address

1615 Northern Blvd
Suite 201
Manhasset, NY 11030-3033

Phone

(516) 365-7952

Fax

(516) 365-7233

NPI assigned

Sep 26, 2006

Sex

Male

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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ras2010@direct.nyp.org

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760583553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-365-7952",
            "fax_number": "516-365-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-365-7952",
            "fax_number": "516-365-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLETIC",
        "first_name": "RAYMOND",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "158333-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "158333-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Snorteland, FNP-BC
• Larissa Soboleva, AGACNP
• Thwe Thwe Soe, D.O.
• Rebecca Sofferman
• Liza Solaimanzadeh, PA-C
• Evan Solomon, MD
• Philip Nathan Solomon, M.D.
• Joshua Somwaru
• Jimyeong Son
• Sepedeh Sonbolian, PHYSICIAN ASSISTANT

• Specialist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.