NADEREH RAFAT, M.D.P.C. (NPI# 1841565389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841565389 |
| Entity Type | Organization |
| Organization Name | NADEREH RAFAT, M.D.P.C. |
| Practice Address |
153 Stevens Ave Suite # 5 Mount Vernon NY 10550-2597 |
| Practice Telephone | 9146671620 |
| Practice Fax Number | 9146672421 |
| Mailing Telephone | 9146671620 |
| Mailing Fax Number | 9146672421 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | DR. NADEREH RAFAT (PRESIDENT) |
| Authorized Official Telephone | 9146671620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
145111 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENCE # | 145111 | 01 |
| NY | MEDICARE PTAN # | 79A912 | 01 |
| NY | 00768107 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NADEREH RAFAT, M.D., P.C. | 153 Stevens Avenue Suite # 5, Mount Vernon, Ny 10550 |
| Street Address |
153 STEVENS AVE SUITE # 5 |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068071 | Nadereh Rafat | Specialist | 153 Stevens Ave, Suite 5, Mount Vernon, NY 10550-2543 | 2006-03-24 |
| 1710540554 | Nicodee Simone Gray-brooks | Nurse Practitioner | 153 Stevens Ave, Mount Vernon, NY 10550-2543 | 2019-04-17 |
| 1760880017 | Carmen L Mendez | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-12-18 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1326316258 | Rosemarie Russell | Nurse Practitioner | 153 Stevens Ave, Mount Vernon, NY 10550-2543 | 2011-12-06 |
| 1740596741 | Mount Vernon Medical Practice | General Practice | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-27 |
| 1740596451 | Antoinette Yvette Frussinetty | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-19 |
| 1417180845 | A Step Ahead Foot Care, PC | Orthopaedic Surgery | 153 Stevens Ave, Suite # 5, Mount Vernon, NY 10550-2543 | 2009-09-02 |
| 1043447808 | Christopher Adubor Physician PC | Internal Medicine | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2009-06-18 |
| 1851569891 | Vanessa Gail Buot | Internal Medicine | 153 Stevens Ave, #4, Mount Vernon, NY 10550-2543 | 2008-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on NADEREH RAFAT, M.D.P.C..
| 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.