Active NPI
Rachel Tehrani
- Pediatrics Physician
- New Square, NY
National Provider Identifier
1619265170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 265362-1
- Practice address
- 728 N Main St
New Square, NY 10977-8916 - Phone
- (845) 354-9300
- NPI assigned
- Jul 19, 2011
- Last updated
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 265362-1 | NY | Primary |
Addresses
Primary practice location
728 N Main St
New Square, NY 10977-8916
Mailing address
3450 Wayne Ave
Apt 18B
Bronx, NY 10467-2510
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265362-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Past | Accepting new patients |
Locations
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rachel.tehrani@rhcnys.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
dba Refuah Health Twin
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1952678245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1619265170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE",
"address_2": "APT 18B",
"city": "BRONX",
"state": "NY",
"postal_code": "104672510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEHRANI",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "265362-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.