Individual provider Active NPI

Rachel Namenson, PA

  • Physician Assistant
  • Haverhill, MA
National Provider Identifier
1457947103
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100219 Issued in MA
Practice address
190 North Ave
Haverhill, MA 01830-2238
Phone
(312) 635-0973
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA100219 MA Primary

Addresses

Primary practice location

190 North Ave
Haverhill, MA 01830-2238

Mailing address

196 Avenue a Apt 2
New York, NY 10009-3424
Phone (508) 269-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240513002708 MA Practitioner - Physician Assistant 5294176913 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA100219MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince May 1, 2024 Accepting new patients
Bethpage Medical, PLLC PastSince Jan 18, 2024 Accepting new patients

Locations

87 Herrick St
Beverly, MA 01915
Phone (978) 685-8086

337 Neponset Ave
Dorchester, MA 02122
Phone (617) 265-2350

292 Washington St
Gloucester, MA 01930
Phone (978) 283-0300

190 North Ave
Haverhill, MA 01830
Phone (978) 372-7700

140 Prescott St
North Andover, MA 01845
Phone (978) 208-4281

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

3 Park Dr
Westford, MA 01886
Phone (978) 392-1144

90 West St
Wilmington, MA 01887
Phone (781) 255-0531

Interoperability endpoints

  • Direct secure messaging: rachel.namenson.1@32594.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1457947103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 AVENUE A APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093424",
            "telephone_number": "508-269-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NORTH AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302238",
            "telephone_number": "312-635-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMENSON",
        "first_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.