Individual provider Active NPI

Adina Rachel Rausman

  • Registered Nurse
  • New York, NY
National Provider Identifier
1134794480
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
800386 Issued in NY
Practice address
116 E 125TH St
New York, NY 10035-1612
Phone
(212) 426-1284
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 800386 NY Primary

Addresses

Primary practice location

116 E 125TH St
New York, NY 10035-1612

Mailing address

1247 Beach 9TH St Apt 1D
Far Rockaway, NY 11691-4862
Phone (347) 405-4978

Other practice location 1

3115 Horseblock Rd
Medford, NY 11763-2526
Phone (631) 730-3000

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

State licenses

LicenseStateTypeSpecialty
800386NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1134794480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 BEACH 9TH ST APT 1D",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914862",
            "telephone_number": "347-405-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351612",
            "telephone_number": "212-426-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Horseblock Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632526",
            "country_code": "US",
            "telephone_number": "631-730-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSMAN",
        "first_name": "ADINA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "800386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.