Individual provider Active NPI

Samuel Rafalin, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1861418030
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207840 Issued in NY
Practice address
210 Central Park S
New York, NY 10019-1428
Phone
(212) 319-5535
Fax
(845) 782-6914
NPI assigned
Jul 14, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207840 NY Primary

Addresses

Primary practice location

210 Central Park S
New York, NY 10019-1428

Mailing address

PO Box 48263
Newark, NJ 07101-4863
Phone (212) 319-5535

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001216 NY Practitioner - Obstetrics/Gynecology 0941609036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Central Park S
New York, NY 10019-1428
Phone (212) 319-5535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Z&E Medical Management LLP Obstetrics & Gynecology CurrentSince Feb 13, 2021 Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: srafalin67363@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1861418030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48263",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014863",
            "telephone_number": "212-319-5535",
            "fax_number": "845-782-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CENTRAL PARK S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191428",
            "telephone_number": "212-319-5535",
            "fax_number": "845-782-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALIN",
        "first_name": "SAMUEL",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "207840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.