Rachel J Kuttichira, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

140888 Issued in NY

Practice address

1908 N Grand Ave
Rachel J Kuttichira MD PC Baldwin Pediatric Care
Baldwin, NY 11510

Phone

(516) 377-4120

Fax

(516) 377-7746

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104988641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N GRAND AVE",
            "address_2": "RACHEL J KUTTICHIRA MD PC BALDWIN PEDIATRIC CARE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-377-4120",
            "fax_number": "516-377-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N GRAND AVE",
            "address_2": "RACHEL J KUTTICHIRA MD PC BALDWIN PEDIATRIC CARE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-377-4120",
            "fax_number": "516-377-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTICHIRA",
        "first_name": "RACHEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "140888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004710",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AP248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "125139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kornblit, RN,NP
• Marian Kraeling, LMT
• Karen Krakauskas, PNP
• Maria Lo Krommidas, MSED
• Dorota Kulicka-Sobocinski, DDS
• L I Counseling & Social Work PC
• Rolph M Lafleur Pascal
• Sarsha Laguerre
• Junithe Laine
• Keshia Lamour

• Pediatrics Physician in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.