Individual provider Active NPI

Salma Thamina Rafir

  • Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1821837683
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F311635-01 Issued in NY
Practice address
871 Olmstead Ave
Bronx, NY 10473-2038
Phone
(929) 507-5288
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F311635-01 NY Primary

Addresses

Primary practice location

871 Olmstead Ave
Bronx, NY 10473-2038

Mailing address

170 William St
New York, NY 10038-2612
Phone (212) 312-5000

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610000927 NY Practitioner - Nurse Practitioner 0840700886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F311635-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Medical Care,PC CurrentSince Apr 1, 2025 Accepting new patients
Sherman Medical Care, PC Past Accepting new patients

Locations

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1821837683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-312-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 OLMSTEAD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732038",
            "telephone_number": "929-507-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIR",
        "first_name": "SALMA",
        "middle_name": "THAMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F311635-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.