NADEREH RAFAT M.D.P.C. NPI 1841565389

NPI Information

NPI: 1841565389
Provider Name: NADEREH RAFAT, M.D.P.C.
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 153 STEVENS AVE
SUITE # 5
MOUNT VERNON, NY
ZIP 10550
Phone: (914) 667-1620

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NPI Details

NADEREH RAFAT, M.D.P.C. is a medical specialty clinic center in Mount Vernon, NY. The provider is 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). NADEREH RAFAT, M.D.P.C. NPI is 1841565389. The provider is registered as an organization entity type.

The provider's business location address is:

153 STEVENS AVE
SUITE # 5
MOUNT VERNON, NY
ZIP 10550-597
Phone: (914) 667-1620
Fax: (914) 667-2421

The provider's authorized official is Nadereh Rafat .
The authorized official title is President and has the following contact phone number (914) 667-1620.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 3/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	145111	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145111	OTHER	NEW YORK	LICENCE #
2	79A912	OTHER	NEW YORK	MEDICARE PTAN #
3	B19374	MEDICARE UPIN	NEW YORK
4	00768107	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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