Rayna F Portnoy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0444831 Issued in NY

Practice address

118 35 Queens Blvd
Lower Lobby
Forest Hills, NY 11375

Phone

(718) 544-8686

Fax

(718) 793-4366

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rayna Fatima Portnoy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801926696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 35 QUEENS BLVD",
            "address_2": "LOWER LOBBY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-544-8686",
            "fax_number": "718-793-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 35 QUEENS BLVD",
            "address_2": "LOWER LOBBY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-544-8686",
            "fax_number": "718-793-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "RAYNA",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0444831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01426599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYNA",
            "last_name": "PORTNOY",
            "middle_name": "FATIMA",
            "credential": "DMD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle Polvanov, OD
• Daniel Gerard Pompa, D.D.S.
• Evan Rene Poncher, MD
• Justin C Popso, D.O.
• Jaimie Lynn Porter, OTR/L CBIS
• Mini Pothen
• Ziona Dasilva Powell, LMSW
• Suzette P Poyaoan, MSED
• Natalya Pozina
• Richie Pozo, MS

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.