NPIMap

Organization Active NPI

Raoul G Biniaurishvili MD PC

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1912164401
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD048245L Issued in PA
Legal business name
RAOUL G BINIAURISHVILI MD PC
Practice address
11685-C Bustleton Ave
Hendrix Center
Philadelphia, PA 19116-2542
Phone
(215) 464-7820
Fax
(215) 464-7808
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Raoul G Biniaurishvili, MD PHDNPI 1851326466
Title
Ceo
Phone
(215) 464-7820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD048245L PA Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD048245L PA

Addresses

Primary practice location

11685-C Bustleton Ave
Hendrix Center
Philadelphia, PA 19116-2542

Mailing address

170 Christopher Dr
Princeton, NJ 08540-2322
Phone (609) 497-7576

Other identifiers 1

IdentifierTypeStateIssuer
0014094500003MedicaidPA

National Provider Directory

National Provider Directory

Locations

11685 Bustleton Ave
#C
Philadelphia, PA 19116
Phone (215) 464-7820

9908 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1912164401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHRISTOPHER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402322",
            "telephone_number": "609-497-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685-C BUSTLETON AVE",
            "address_2": "HENDRIX CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162542",
            "telephone_number": "215-464-7820",
            "fax_number": "215-464-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAOUL G BINIAURISHVILI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BINIAURISHVILI",
        "authorized_official_first_name": "RAOUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-464-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD048245L",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": "MD048245L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014094500003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.