RAVEENA MEDICAL PC – NPI #1013031533
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

RAVEENA MEDICAL PC is a provider located in NEW HYDE PARK, NY. NPPES has assigned the NPI number 1013031533 to RAVEENA MEDICAL PC on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Dec 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAVEENA MEDICAL PC below.

NPI Profile for
RAVEENA MEDICAL PC

NPI Number
1013031533
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RAVEENA MEDICAL PC
Primary location
1575 HILLSIDE AVENUE # 103
SUITE #103
NEW HYDE PARK, NY 11040-2501
Phone: (516) 352-1804 Fax: (516) 352-1449
Mailing address
9308 QUEENS BLVD # 1B1C
REGO PARK, NY 11374-1135
Phone: (718) 806-1434 Fax: (718) 806-1435
Organization Subpart
No
Authorized Official
TEEKARAM PERSAUD
PRESIDENT
Phone: (718) 806-1434
Updated
Certification Date
Dec 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RAVEENA MEDICAL PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02728545
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
NY 223596

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.