MEDICARE: NIMA YIGAL RAMINFAR DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB10398880	NJ
2	207R00000X	Internal Medicine Physician	25MB10398800	NJ

General Provider Information

NPI Number	:	1932555927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIMA YIGAL RAMINFAR DO

Provider Business Mailing Address
First Line	:	1932 COLEMAN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4508
Country	:	US
Telephone Number	:	718-930-4222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2396 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5002
Country	:	US
Telephone Number	:	718-576-1050
Fax Number	:	718-355-8520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2016
Last Update Date	:	08/21/2023

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