Active NPI
Rachel Mindich, PA-C
- Physician Assistant
- Bronx, NY
National Provider Identifier
1649416355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013082-1
- Practice address
- 3400 Bainbridge Ave FL 7
Bronx, NY 10467-2404 - Phone
- (718) 920-2248
- Fax
- (718) 652-1833
- NPI assigned
- Dec 30, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013082-1 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave FL 7
Bronx, NY 10467-2404
Mailing address
3400 Bainbridge Ave FL 7
Bronx, NY 10467-2404
Phone (718) 920-2248
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013082-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1649416355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE FL 7",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-2248",
"fax_number": "718-652-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE FL 7",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-2248",
"fax_number": "718-652-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDICH",
"first_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013082-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Lourdes Gabriela Minchala
- Kristen Mincin, MA, CCC-SLP, TSSLD
- Mind and Body Counseling Services, PLLC
- Mind-Touch Psychiatry & Integrative Care, LLC
- Mindful Journeys Psychotherapy Wellness PLLC
- Adrieanne Minervini, RPH
- Yolanda Mines, LCSW
- Minette LCSW Psychotherapy Services, PLLC
- Keriann Mingo, APN
- Seryl Mingoa, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.