Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Ravetch, MD

Individual provider Surgery Physician · NPI 1447645445

Ethan Ravetch, MD is a General Surgery in Bronx, New York. Qualified in 2015, 11 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 Waters Place Tower 1 7th Fl
Bronx, NY 10461
Phone: (929) 246-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 696-2583

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 290370 (NY)

Record details

NPI number1447645445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESMay 21, 2025
Certification dateMay 12, 2025
Mailing address1468 Madison Ave, New York, NY 10029-6508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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