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

Raisa Novofastovsky

Individual provider Podiatrist · NPI 1710950878

Raisa Novofastovsky is a Podiatry in Brooklyn, New York. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1812 Quentin Rd Ste M-2
Brooklyn, NY 11229-1336
Phone: (718) 382-1773
Fax: (718) 382-3214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence N 004903 (NY)

Record details

NPI number1710950878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2006
Last updated in NPPESAugust 19, 2013

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brooklyn