Individual provider Active NPI

Dawn P Rush, MD

  • Specialist
  • Yorktown Heights, NY
National Provider Identifier
1215918941
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
188145 Issued in NY
Practice address
2649 Strang Blvd
Suite 203
Yorktown Heights, NY 10598-2939
Phone
(914) 962-0684
Fax
(914) 962-0415
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 188145 NY Primary

Addresses

Primary practice location

2649 Strang Blvd
Suite 203
Yorktown Heights, NY 10598-2939

Mailing address

PO Box 309
Yorktown Heights, NY 10598-0309
Phone (914) 962-0684

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000064 NY Practitioner - Ophthalmology 8729267828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1215918941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105980309",
            "telephone_number": "914-962-0684",
            "fax_number": "914-962-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "SUITE 203",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982939",
            "telephone_number": "914-962-0684",
            "fax_number": "914-962-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "DAWN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "188145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.