Organization Active NPI

Accord Physicians, PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1790949584
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ACCORD PHYSICIANS, PLLC
Doing business as
Accord Physicians, PLLC
Practice address
2632 E 14TH St
Suite 101
Brooklyn, NY 11235-3916
Phone
(718) 375-2100
Fax
(718) 228-7414
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Vitaly Raykhman, M.D.
Title
Managing Member
Phone
(718) 375-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2632 E 14TH St
Suite 101
Brooklyn, NY 11235-3916

Mailing address

PO Box 350822
Brooklyn, NY 11235-0822
Phone (718) 375-2100

Other names 1

  • Accord Physicians, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081205000548 NY Part B Supplier - Clinic/Group Practice 3971664152 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY; Richmond Hill, NY
O20090205000380 FL Part B Supplier - Clinic/Group Practice 3971664152 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

3501 1st Ave S
Ste 101
Saint Petersburg, FL 33711

2632 E 14th St
#101
Brooklyn, NY 11235

2270 Kimball St
Ste 101A
Brooklyn, NY 11234
Phone (718) 285-2706

2505 86th St
#102
Brooklyn, NY 11214

2632 E 14th St
Ste 101
Brooklyn, NY 11235

10713 Jamaica Ave
Richmond Hill, NY 11418

10713 Jamaica Ave
#15
Richmond Hill, NY 11418

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBCIBA

Practitioners & affiliated clinicians

Practitioners 5

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1790949584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350822",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112350822",
            "telephone_number": "718-375-2100",
            "fax_number": "718-228-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E 14TH ST",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353916",
            "telephone_number": "718-375-2100",
            "fax_number": "718-228-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "RAYKHMAN",
        "authorized_official_first_name": "VITALY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-375-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accord Physicians, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2015; 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.