Organization Active NPI

Rachel M. Bautista, M.D. P.C.

  • Allergy & Immunology Physician
  • Hauppauge, NY
National Provider Identifier
1659564383
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
152584 Issued in NY
Legal business name
RACHEL M. BAUTISTA, M.D. P.C.
Practice address
227 Mount Pleasant Rd
Hauppauge, NY 11788-2709
Phone
(631) 360-0877
Fax
(631) 360-3317
NPI assigned
Aug 27, 2007
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Diane Rainone
Title
Practice Manager
Phone
(631) 360-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 152584 NY Primary

Addresses

Primary practice location

227 Mount Pleasant Rd
Hauppauge, NY 11788-2709

Mailing address

227 Mount Pleasant Rd
Hauppauge, NY 11788-2709
Phone (631) 360-0877

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1659564383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-360-0877",
            "fax_number": "631-360-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-360-0877",
            "fax_number": "631-360-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL M. BAUTISTA, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "RAINONE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-360-3442"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "152584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.