Individual provider Active NPI

Rachel Blair, PA-C

  • Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1700416799
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026465 Issued in NY
Practice address
3003 New Hyde Park Rd Ste 309
New Hyde Park, NY 11042-1214
Phone
(516) 326-2599
Fax
(516) 326-1288
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 026465 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd Ste 309
New Hyde Park, NY 11042-1214

Mailing address

3003 New Hyde Park Rd Ste 309
New Hyde Park, NY 11042-1214
Phone (516) 326-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000074 NY Practitioner - Physician Assistant 3375942790 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026465NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jun 1, 2021 Accepting new patients

Locations

661 Deer Park Ave
Babylon, NY 11702
Phone (631) 376-3880

14238 37th Ave
Ste 1A
Flushing, NY 11354
Phone (212) 203-3958

5925 Kissena Blvd
Flushing, NY 11355
Phone (718) 280-9788

10406 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 275-8100

2200 Northern Blvd
Ste 100D
Greenvale, NY 11548
Phone (516) 243-8521

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

15636 Crossbay Blvd
Ste C
Howard Beach, NY 11414
Phone (718) 738-6800

3003 New Hyde Park Rd
Ste 309
New Hyde Park, NY 11042
Phone (516) 233-2950

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

1991 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 200-0025

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rblair74772@direct-chsli.net

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1700416799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD STE 309",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-326-2599",
            "fax_number": "516-326-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD STE 309",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-326-2599",
            "fax_number": "516-326-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.