Individual provider Active NPI

Rachelle E Namm, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1013023704
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
237215 Issued in NY
Practice address
8008 3Rd Ave
Brooklyn, NY 11209-3802
Phone
(718) 833-3636
Fax
(718) 833-2432
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07949100 NJ
Pediatrics Physician 208000000X 237215 NY Primary

Addresses

Primary practice location

8008 3Rd Ave
Brooklyn, NY 11209-3802

Mailing address

8008 3Rd Ave
Brooklyn, NY 11209-3802
Phone (718) 833-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07949100NJMDPediatrics Physician
237215NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kintiroglou Pediatrics LLC Pediatrics Past Accepting new patients
Devito and Alvarado Pediatric Associates, PLLC Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1013023704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093802",
            "telephone_number": "718-833-3636",
            "fax_number": "718-833-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093802",
            "telephone_number": "718-833-3636",
            "fax_number": "718-833-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMM",
        "first_name": "RACHELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07949100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.