Active NPI
Rasha Kaufold
- Registered Nurse
- Woodmere, NY
National Provider Identifier
1386367944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 851674
- Practice address
- 302 Longacre Ave
Woodmere, NY 11598-2551 - Phone
- (973) 851-7594
- NPI assigned
- Sep 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 851674 | NY | Primary |
Addresses
Primary practice location
302 Longacre Ave
Woodmere, NY 11598-2551
Mailing address
302 Longacre Ave
Woodmere, NY 11598-2551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851674 | Medicaid | NY |
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 |
|---|---|---|---|
| 851674 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1386367944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 LONGACRE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 LONGACRE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982551",
"telephone_number": "973-851-7594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFOLD",
"first_name": "RASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "851674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "851674",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.