Individual provider Active NPI

Rachael Worch

  • Audiologist
  • Suffern, NY
National Provider Identifier
1477174290
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001484-1 Issued in NY
Practice address
8 Prosperity Dr
Suffern, NY 10901-2700
Phone
(917) 776-0267
NPI assigned
May 4, 2020
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001484-1 NY Primary

Addresses

Primary practice location

8 Prosperity Dr
Suffern, NY 10901-2700

Mailing address

8 Prosperity Dr
Suffern, NY 10901-2700
Phone (917) 776-0267

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SUFFERN Other

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

LicenseStateTypeSpecialty
001484-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1477174290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPERITY DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012700",
            "telephone_number": "917-776-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPERITY DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012700",
            "telephone_number": "917-776-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORCH",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001484-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SUFFERN",
            "affiliation": "N",
            "endpointDescription": "audiologist",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SUFFERN",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SUFFERN",
            "address_1": "8 Prosperity Dr",
            "city": "Suffern",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109012700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.