Raisa Novofastovsky
Podiatrist | 34+ years Exp
Medicare Enrolled
1812 Quentin Rd, Suite M-2, Brooklyn
New York, 11229-1336
718-382-1773 718-382-3214
Maps & DirectionsRaisa Novofastovsky is a Brooklyn, New York based podiatrist with 34 years of experience in Podiatry. She completed her graduation in 1991. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Raisa Novofastovsky for Podiatry is N 004903 in New York.
Raisa Novofastovsky is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Raisa Novofastovsky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Experience: | 34+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1991 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1812 Quentin Rd, Suite M-2, Brooklyn, New York, 11229-1336 |
| Phone: | 718-382-1773 |
| Fax: | 718-382-3214 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 7012938525 |
| Enrollment ID: | I20051213000229 |
| NPI Number: | 1710950878 |
| NPI Enumeration Date: | 09 Feb, 2006 |
| NPI Last Update On: | 19 Aug, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raisa Novofastovsky are as mentioned below.
| License Number | Specialization | State | Status | |
| N 004903 | Podiatry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Raisa Novofastovsky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01250811 | Medicaid | New York | |
| P3603491 | Other | New York | OXFORD |
| 214483P | Other | | HIP |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1812 Quentin Rd, Suite M-2 Brooklyn, New York |
| Zip: | 11229-1336 |
| Phone Number: | 718-382-1773 |
| Fax Number: | 718-382-3214 |
Patients can reach Raisa Novofastovsky at
1812 Quentin Rd, Suite M-2, Brooklyn, New York or can
call to book an appointment on 718-382-1773.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.