Individual provider Active NPI

Frederic Rakowitz, MD PHD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1982765210
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
138591 Issued in NY
Practice address
76 Bayview Ave
Great Neck, NY 11021-1720
Phone
(516) 482-7351
Fax
(516) 482-7351
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 138591 NY Primary

Addresses

Primary practice location

76 Bayview Ave
Great Neck, NY 11021-1720

Mailing address

76 Bayview Ave
Great Neck, NY 11021-1720
Phone (516) 482-7351

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
138591NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1982765210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BAYVIEW AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211720",
            "telephone_number": "516-482-7351",
            "fax_number": "516-482-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BAYVIEW AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211720",
            "telephone_number": "516-482-7351",
            "fax_number": "516-482-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWITZ",
        "first_name": "FREDERIC",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.