Dr. Raisa Bakshiyev, MD
Physical Medicine & Rehabilitation in Brick, New Jersey
1588009740- Practice location
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone
- 732-836-4504
- Fax
- 732-836-4532
- Last updated
- July 2, 2019
Raisa Bakshiyev is a Physical Medicine & Rehabilitation based in Brick, NJ. Raisa Bakshiyev practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Raisa Bakshiyev is 1588009740 and holds a License No. 290336 (NY). The current practice location address for Raisa Bakshiyev is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-836-4504 and via fax at 732-836-4532.
Provider Profile Details
- NPI Number
- 1588009740
- Provider Name
- Raisa Bakshiyev
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone Number
- 732-836-4504
- Fax Number
- 732-836-4532
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2013
- Last Update Date
- July 2, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7732
- Phone Number
- 732-836-4504
- Fax Number
- 732-836-4532
Provider Business Mailing Address Details
- Address
- 65 James St
Edison, NJ 08820-3947 - City
- Edison
- State
- NJ
- Zip
- 08820-3947
- Phone Number
- 732-321-7070
- Fax Number
- 732-321-7330
License Information
- License Number (1)
- 290336
- License State (1)
- NY
- Taxonomy (1)
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- License Number (2)
- 25MA09836100
- License State (2)
- NJ
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation providers near Brick, NJ
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- Rosanne Vantuono MD PAPhysical Medicine & Rehabilitation · NPI 1164440954
- Rosanne Vantuono, MDPhysical Medicine & Rehabilitation · NPI 1306864194
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Frequently Asked Questions
What is the NPI number of Dr. Raisa Bakshiyev, MD?
The NPI number of Dr. Raisa Bakshiyev, MD is 1588009740. It was assigned on May 1, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Raisa Bakshiyev, MD?
Dr. Raisa Bakshiyev, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NY under license number 290336.
Where does Dr. Raisa Bakshiyev, MD practice?
The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-836-4504 (phone) or 732-836-4532 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588009740 directly on the NPPES registry website.