RAYCO MEDICAL PLLC (NPI# 1750654745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750654745 |
| Entity Type | Organization |
| Organization Name | RAYCO MEDICAL PLLC |
| Practice Address |
2035 Lakeville Rd Suite 300 New Hyde Park NY 11040-1600 |
| Practice Telephone | 5164923309 |
| Practice Fax Number | 5164923299 |
| Mailing Telephone | 5164923309 |
| Mailing Fax Number | 5164923299 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | DR. JAHAN S. ROOFEH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5164923309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 123456789 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | PENDING | 01 |
| Street Address |
2035 LAKEVILLE RD SUITE 300 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344113 | George A Schabes | Dentist | 2035 Lakeville Rd, Ste 204, New Hyde Park, NY 11040-1661 | 2005-05-24 |
| 1659635357 | Lakeville Physical Therapy & Acupuncture LLC | Exclusive Provider Organization | 2035 Lakeville Rd, Suite 300, New Hyde Park, NY 11040-1600 | 2012-06-27 |
| 1326374976 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2009-11-02 |
| 1740422112 | Medman Primary Care Medicine PC | Family Medicine | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2009-04-01 |
| 1619125440 | Albert Nosrati, Md. PC | Internal Medicine | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2008-09-04 |
| 1225204621 | North Shore Medical Group, PC | Internal Medicine | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2008-05-06 |
| 1588841464 | Jahan S. Roofeh, M.d. | Durable Medical Equipment & Medical Supplies | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2008-01-23 |
| 1790980886 | Dr. Kaufman, Schabes, & Sacks, LLP | Dentist | 2035 Lakeville Rd, Suite 204, New Hyde Park, NY 11040-1661 | 2007-06-19 |
| 1083747463 | North Shore Cardiac Imaging PC | Nuclear Medicine | 2035 Lakeville Rd, New Hyde Park, NY 11040-1661 | 2007-03-14 |
| 1245366889 | James Gott Physical Therapy | Clinic/Center | 2035 Lakeville Rd, Suite 207, New Hyde Park, NY 11040-1661 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379528 | Tracey L Sanders | Specialist | 34 Beechwood Lane, New Hyde Park, NY 11040 | 2018-03-16 |
| 1770010274 | Nicholas Roland Mercado | Specialist | 27005 76th Ave Ste 305, New Hyde Park, NY 11040-1402 | 2017-05-15 |
| 1033566237 | Frank Sehn | Specialist | 29 Stephen Ave, New Hyde Park, NY 11040-3130 | 2016-05-17 |
| 1386018042 | Emily Carpio | Specialist | 912 Bryant Ave, New Hyde Park, NY 11040-3854 | 2015-11-18 |
| 1326445941 | Elena Kantrowitz | Specialist | 162 Executive Dr, New Hyde Park, NY 11040-1016 | 2014-11-25 |
| 1689083610 | Rapha Office & Home Physical Therapy Services P.C. | Specialist | 1039 N 5th St, New Hyde Park, NY 11040-2939 | 2014-08-04 |
| 1073935672 | Doris Ribaric | Specialist | 16 Corwin Ave, New Hyde Park, NY 11040-3911 | 2014-01-16 |
| 1104247394 | Lexi Senft | Specialist | 168 Greenway W, New Hyde Park, NY 11040-2243 | 2013-12-15 |
| 1346678042 | Stephanie Whalen | Specialist | 178 Celler Ave, New Hyde Park, NY 11040-2057 | 2013-10-16 |
| 1326385998 | Weijuan Chen | Specialist | 20 Spruce Ln, New Hyde Park, NY 11040-1920 | 2013-01-15 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on RAYCO MEDICAL PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.