Individual provider Active NPI

Ellen J Razgaitis, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1881839462
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001326 Issued in NY
Practice address
1622 8TH Ave
Brooklyn, NY 11215-5604
Phone
(718) 788-5796
Fax
(718) 788-5796
NPI assigned
Dec 10, 2008
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001326 NY Primary

Addresses

Primary practice location

1622 8TH Ave
Brooklyn, NY 11215-5604

Mailing address

1622 8TH Ave
Brooklyn, NY 11215-5604
Phone (718) 788-5796

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001326NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Midwifery Midwife Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1881839462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155604",
            "telephone_number": "718-788-5796",
            "fax_number": "718-788-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155604",
            "telephone_number": "718-788-5796",
            "fax_number": "718-788-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZGAITIS",
        "first_name": "ELLEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.