Individual provider Active NPI

Rebeka Racz, WHNP

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1265081525
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421407 Issued in NY
Practice address
535 Clinton Ave
Brooklyn, NY 11238-6589
Phone
(917) 410-6905
Fax
(646) 878-6095
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421407 NY Primary

Addresses

Primary practice location

535 Clinton Ave
Brooklyn, NY 11238-6589

Mailing address

535 Clinton Ave
Brooklyn, NY 11238-6589
Phone (917) 410-6905

Other practice location 1

200 W 57th St Ste 307
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 2

2818 Astoria Blvd
Astoria, NY 11102-4751
Phone (917) 410-6905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001390 NY Practitioner - Nurse Practitioner 6507268968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
421407NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Jan 4, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2021 Accepting new patients
Walk in Womens Gynecology PLLC Past Accepting new patients
Walk in GYN Care, PC PastSince Jul 1, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince Jan 4, 2022 Accepting new patients

Locations

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

300 Community Dr
Plandome, NY 11030

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 5

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1265081525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386589",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386589",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 57th St Ste 307",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193211",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2818 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111024751",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACZ",
        "first_name": "REBEKA",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.