Active NPI
Rachel Jane O'Rourke, MS, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1174181945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024101
- Practice address
- 530 E 74TH St
New York, NY 10021-3459 - Phone
- (212) 639-2000
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024101 | NY | Primary |
Addresses
Primary practice location
530 E 74TH St
New York, NY 10021-3459
Mailing address
530 E 74TH St
New York, NY 10021-3459
Phone (212) 639-2000
Other names 1
- Rachel Johnston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.61 of 100
- Quality
- 70.88
- Improvement activities
- 40
- Cost
- 46.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 90.52
- Improvement activities
- 40
- Cost
- 46.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.79 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 49.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024101 | NY | MD | Physician Assistant |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- rjohnston25208@mskcc.direct-ci.com
Organizations & group practices 10
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1679544241
-
- Nephrology Physician
- New York, NY
- NPI 1043281512
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Infectious Disease Physician
- New York, NY
- NPI 1619948189
-
- Neurology Physician
- New York, NY
- NPI 1538130190
-
- Psychiatry Physician
- New York, NY
- NPI 1689645244
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1871564344
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1174181945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213459",
"telephone_number": "212-639-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213459",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "RACHEL",
"middle_name": "JANE",
"credential": "MS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "JOHNSTON",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.