Raffi Barsoumian, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

240858 Issued in NY

Practice address

673 Orangeburgh Rd
Rivervale, NJ 07675-6404

Phone

(516) 287-1120

NPI assigned

Dec 4, 2006

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nyc Physician Housecalls, PC

  • Clinic/Center
  • River Vale, NJ
  • NPI 1942915087
  Authorized official Same address or phone
• California Concierge Physicians PC

  • Emergency Medicine Physician
  • Studio City, CA
  • NPI 1538897590
  Authorized official Same address or phone
• Penn Medical Associates PC

  dba Philadelphia Pulsewave

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1720727027
  Authorized official Same address or phone
• Raffi Barsoumian MD Medical Treatments PC

  • General Practice Physician
  • Howard Beach, NY
  • NPI 1548769029
  Authorized official Same address or phone
• Raffi Barsoumian MD PLLC

  • General Practice Physician
  • Melville, NY
  • NPI 1578862587
  Authorized official Same address or phone
• Raffi Barsoumian MD

  • Surgery Physician
  • Syosset, NY
  • NPI 1013149038
  NPD (past)
• USA Medical Services PC

  • Surgery Physician
  • Tampa, FL
  • NPI 1083677181
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1932277134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 ORANGEBURGH RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756404",
            "telephone_number": "516-287-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 ORANGEBURGH RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756404",
            "telephone_number": "516-287-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUMIAN",
        "first_name": "RAFFI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "240858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02935702",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anb Medical Supply LLC
• Kathleen Mary Anesko, PH.D.
• Anxiety Leader LLC
• Emily Ann Bakerman, NP
• Alfred Banan
• Kristen Baxley, M.S.
• BBDC Dental, P.C. (Bear Brook Dental Care)
• Bear Brook Orthodontics PC
• Charles Scott Berg, DC
• Marily Reyes Berndt, NCC, LPC

• Surgery Physician in River Vale, NJ
• Providers in River Vale, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.