Active NPI
Rebecca Rauch
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1306590195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1562388211
- Practice address
- 575 8TH Ave FL 6
New York, NY 10018-3158 - Phone
- (212) 221-1544
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 1562388211 | NY | Primary |
Addresses
Primary practice location
575 8TH Ave FL 6
New York, NY 10018-3158
Mailing address
301 Jordan Ave
Woodmere, NY 11598-2524
Other practice location 1
1505 Carroll St
Brooklyn, NY 11213-4513
Phone (718) 756-0770
Other practice location 2
432 Rutland Rd
Brooklyn, NY 11203-1504
Phone (718) 953-2919
Other practice location 3
444 Beach 6th St
Far Rockaway, NY 11691
Phone (718) 471-8444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1562388211 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730592000000",
"number": "1306590195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JORDAN AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 8TH AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183158",
"telephone_number": "212-221-1544"
}
],
"practiceLocations": [
{
"address_1": "1505 Carroll St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112134513",
"country_code": "US",
"telephone_number": "718-756-0770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "432 Rutland Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112031504",
"country_code": "US",
"telephone_number": "718-953-2919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "444 Beach 6th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "11691",
"country_code": "US",
"telephone_number": "718-471-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAUCH",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2024-11-03",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "1562388211",
"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 Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.