Active NPI
Sandra Raff, MD
- Public Health & General Preventive Medicine Physician
- Ridgefield, CT
National Provider Identifier
1881031391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 114240-1
- Practice address
- 520 Main St
Unit 15
Ridgefield, CT 06877-3833 - Phone
- (203) 894-5065
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 114240-1 | NY | Primary |
Addresses
Primary practice location
520 Main St
Unit 15
Ridgefield, CT 06877-3833
Mailing address
520 Main St
Unit 15
Ridgefield, CT 06877-3833
Phone (203) 894-5065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114240-1 | NY | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1881031391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MAIN ST",
"address_2": "UNIT 15",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068773833",
"telephone_number": "203-894-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MAIN ST",
"address_2": "UNIT 15",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068773833",
"telephone_number": "203-894-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFF",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NY",
"license": "114240-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Therapy Contracting Services of CT, LLC
- Robin Prokopczyk, OTR/L
- Betsy A Pulick, D.C.
- Brenden Quilty, PHARMD, RPH
- Megan W Rajbanshi, LCSW
- Randall G Baldwin DMD PC
- Robin Lynn Raposa, PT
- Randall P. Raymond, PH.D., L.P.C.
- Ronald John Raymond, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.