NPIMap

Individual provider Active NPI

Eugene M Raber, DO

  • Internal Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1982766291
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215962 Issued in NY
Practice address
3 School St
Suite 208
Glen Cove, NY 11542-2590
Phone
(516) 759-5011
Fax
(516) 676-1933
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 215962 NY Primary

Addresses

Primary practice location

3 School St
Suite 208
Glen Cove, NY 11542-2590

Mailing address

3 School St
Suite 208
Glen Cove, NY 11542-2590
Phone (516) 759-5011

Other identifiers 1

IdentifierTypeStateIssuer
02077365MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000864 NY Practitioner - Internal Medicine 3274598404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 School St
Suite 204
Glen Cove, NY 11542-2548
Phone (516) 759-5011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215962NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raber Medical PC Internal Medicine CurrentSince Mar 15, 2007 Accepting new patients
Daniel L. Levin, MD PC Internal Medicine PastSince Mar 15, 2007 Accepting new patients
Forest Manor Care Center Inc Past Accepting new patients
Frederick Rufrano Mdfacppc Internal Medicine Past Accepting new patients

Locations

3 School St
Ste 204
Glen Cove, NY 11542
Phone (516) 567-6312

3 School St
Ste 208
Glen Cove, NY 11542
Phone (516) 676-1222

15 Glen St
Ste 101
Glen Cove, NY 11542
Phone (516) 759-5011

Interoperability endpoints

  • Direct secure messaging: eugeneraber.eugeneraber@117205.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1982766291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "address_2": "SUITE 208",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "516-759-5011",
            "fax_number": "516-676-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "address_2": "SUITE 208",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "516-759-5011",
            "fax_number": "516-676-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABER",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02077365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.