Raduga, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

663561121 Issued in NY

Legal business name

RADUGA, INC.

Practice address

857 Olympia Blvd
Unit B
Staten Island, NY 10305-3225

Phone

(917) 915-4404

NPI assigned

May 7, 2016

Organization subpart

No

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

Authorized official

Name

Elena KofnerNPI 1942551254

Title

Owner

Phone

(917) 915-4404

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elena Kofner

  • Specialist
  • Staten Island, NY
  • NPI 1942551254
  NPD (past) Authorized official

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1841646973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 OLYMPIA BLVD",
            "address_2": "UNIT B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 OLYMPIA BLVD",
            "address_2": "UNIT B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053225",
            "telephone_number": "917-915-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADUGA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "KOFNER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-915-4404"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "663561121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Raden, M.D.
• Shruthi Radhakrishnan, DO
• Radiology Services of New York PC
• Radiology Services of New York, PC
• Miriam Radov, O.D.
• Elina Radushinsky, L.AC
• Agnes Radzio, MD
• Hellena Rafailov, PA
• Yuriy Rafailov, DOCTORATE
• Amgad Ahmed Ragab, PHARMACIST

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.