RVT Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

225064 Issued in NY

Legal business name

RVT MEDICAL PC

Practice address

1670 East 17TH Street
Suite 2B-2C
Brooklyn, NY 11229

Phone

(718) 676-1633

Fax

(718) 676-1635

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Raisa Toumanova, M.D.

Title

Medical Director

Phone

(646) 408-5765

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1972812345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 EAST 17TH STREET",
            "address_2": "SUITE 2B-2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-676-1633",
            "fax_number": "718-676-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 EAST 17TH STREET",
            "address_2": "SUITE 2B-2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-676-1633",
            "fax_number": "718-676-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "TOUMANOVA",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-408-5765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.