Individual provider Active NPI

Nunziata Raschella, MD

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1700806569
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211945 Issued in NY
Practice address
97 Fulton Ave
Poughkeepsie, NY 12603-2807
Phone
(845) 486-7520
Fax
(650) 649-6402
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211945 NY Primary

Addresses

Primary practice location

97 Fulton Ave
Poughkeepsie, NY 12603-2807

Mailing address

97 Fulton Ave
Poughkeepsie, NY 12603-2807
Phone (845) 486-7520

Other identifiers 1

IdentifierTypeStateIssuer
01896157MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001112 NY Practitioner - Internal Medicine 0941263263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nunziata Raschella MD PLLC Internal Medicine CurrentSince Aug 23, 2004 Accepting new patients
Sara Medical Care PLLC Internal Medicine Past Accepting new patients

Locations

100 Franklin St
Poughkeepsie, NY 12601
Phone (845) 454-4000

97 Fulton Ave
Poughkeepsie, NY 12603
Phone (845) 486-7520

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1700806569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032807",
            "telephone_number": "845-486-7520",
            "fax_number": "650-649-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032807",
            "telephone_number": "845-486-7520",
            "fax_number": "650-649-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHELLA",
        "first_name": "NUNZIATA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.