Rafaela St. Hill, RDH.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

022974-1 Issued in NY

Practice address

751 Briggs Highway
Ellenville, NY 12428

Phone

(845) 647-2000

Fax

(845) 647-2302

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

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 1

Other names 1

• Rafaela Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1306121603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LEGGETT RD",
            "city": "HIGH FALLS",
            "state": "NY",
            "postal_code": "12440",
            "telephone_number": "845-647-2000",
            "fax_number": "845-647-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BRIGGS HIGHWAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-647-2000",
            "fax_number": "845-647-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. HILL",
        "first_name": "RAFAELA",
        "credential": "RDH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "022974-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01690633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAELA",
            "last_name": "RODRIGUEZ",
            "credential": "DENTAL HYGIENIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemary Sloan, MS CCC-SLP
• Paul Sommer
• Shanique Yevette Speight, LPN
• Walter Leonard Sperling, M.D.
• Jim Michael Spoor, EMT
• Michael Edward Stearns, RPH., CASAC
• Fernando Terry I
• The Eye Studio, Inc.
• The Institute for Family Health
• Lynn Ann Thomas, LPN

• General Practice Dentistry in Ellenville, NY
• Providers in Ellenville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.