Rachel Alexandra Pawlick

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008420 Issued in NY

Practice address

6007 Fair Lakes Rd Ste 400
East Syracuse, NY 13057-1253

Phone

(315) 234-5730

NPI assigned

Jun 12, 2023

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 names 1

• Rachel Alexandra Moskal Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Corinth, NY
  • NPI 1003957424
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1417631334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KURTS KOURT",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134923227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 FAIR LAKES RD STE 400",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571253",
            "telephone_number": "315-234-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLICK",
        "first_name": "RACHEL",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MOSKAL",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Mikesell Panebianco, M.D.
• Floria G Panels, MS CCC SLP
• Silviu Valeriu Pasniciuc, MD
• Melissa Patnella, DPT
• Amy Patrick
• Ryan D Pearlman, D.C.
• Chace Perkins, PA-C
• Amanda Rae Pero Bowen, FNP-C
• Jillian Brenna Perrault, ATC
• Barbara Lee Peterlin II, DO

• Registered Dietitian in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.