Organization Active NPI

Ara Medical Innovation, PLLC

  • Infusion Therapy Clinic/Center
  • Woodside, NY
National Provider Identifier
1871996314
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
ARA MEDICAL INNOVATION, PLLC
Practice address
5314 Roosevelt Ave
2ND Floor
Woodside, NY 11377-4239
Phone
(347) 527-1752
Fax
(347) 730-4120
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Rafael Rodriguez, M.D.
Title
Member/President
Phone
(347) 527-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

5314 Roosevelt Ave
2ND Floor
Woodside, NY 11377-4239

Mailing address

5314 Roosevelt Ave
2ND Floor
Woodside, NY 11377-4239
Phone (347) 527-1752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1871996314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "347-527-1752",
            "fax_number": "347-730-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "347-527-1752",
            "fax_number": "347-730-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA MEDICAL INNOVATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "347-527-1752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.