Nadereh Rafat, M.D.P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

145111 Issued in NY

Legal business name

NADEREH RAFAT, M.D.P.C.

Practice address

153 Stevens Ave
Suite # 5
Mount Vernon, NY 10550-2597

Phone

(914) 667-1620

Fax

(914) 667-2421

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nadereh Rafat, M.D.

Title

President

Phone

(914) 667-1620

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nunzio Pomara, M.D.

  • Specialist
  • New York, NY
  • NPI 1831221910
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1841565389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "address_2": "SUITE # 5",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502597",
            "telephone_number": "914-667-1620",
            "fax_number": "914-667-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "address_2": "SUITE # 5",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502597",
            "telephone_number": "914-667-1620",
            "fax_number": "914-667-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEREH RAFAT, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "RAFAT",
        "authorized_official_first_name": "NADEREH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-667-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "145111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "79A912",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00768107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE #",
            "identifier": "145111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MVH Medical PC
• Keesha Dominique Myers
• Melissa Diana Myers, RN
• Sabrina Myrie, LMSW
• N3 Global LLC
• Robert Craig Nagel, MD
• Ralph Nager, MD
• Anessia Nagesar
• Geetha D Naik, MD
• Pushpa Naik

• Medical Specialty Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.