Individual provider Active NPI

Rachel Straus, PA

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1326621095
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
026484 Issued in NY
Practice address
14143 72ND Cres
Flushing, NY 11367-2329
Phone
(917) 589-0253
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 026484 NY Primary

Addresses

Primary practice location

14143 72ND Cres
Flushing, NY 11367-2329

Mailing address

14143 72ND Cres
Flushing, NY 11367-2329
Phone (917) 589-0253

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
I20220801001101 NY Practitioner - Physician Assistant 3678955101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

4337 Broadway
New York, NY 10033-2411
Phone (646) 386-1115

5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200

7308 Springfield Blvd
Bayside, NY 11364-3022
Phone (718) 464-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026484NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rstraus@advderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1326621095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14143 72ND CRES",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672329",
            "telephone_number": "917-589-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14143 72ND CRES",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672329",
            "telephone_number": "917-589-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUS",
        "first_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "026484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.