Individual provider Active NPI

Richard Dauhajre, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Jackson Heights, NY
National Provider Identifier
1811973241
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219978 Issued in NY
Practice address
9033 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone
(718) 457-7000
Fax
(718) 457-0651
NPI assigned
Dec 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 219978 NY Primary

Addresses

Primary practice location

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935

Mailing address

80 East End Avenue
Suite 6E
New York, NY 10028-8015
Phone (646) 644-9320

Other identifiers 1

IdentifierTypeStateIssuer
02216200MedicaidNY

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
I20040317001253 NY Practitioner - Physical Medicine and Rehabilitation 8527958271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Icahn School of Medicine at Mount Sinai, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groupo Medico Dominicano PLLCGroup PAC ID 8123125945, 8 clinicians

Practice addresses (Care Compare)

629 W 185TH St
New York, NY 10033-3102
Phone (212) 928-3900

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone (718) 457-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219978NYMDPhysical Medicine & Rehabilitation Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital CurrentSince Aug 21, 2013 Accepting new patients
Empire Joint and Spine PC Physical Medicine & Rehabilitation CurrentSince May 1, 2004 Accepting new patients
Groupo Medico Dominicano PLLC CurrentSince May 1, 2016 Accepting new patients
Mount Sinai Hospital CurrentSince Aug 21, 2013 Accepting new patients
Broadway Cardiopulmonary, P.C. Past Accepting new patients
Queens Medical Office, P.C. Past Accepting new patients
For-Med Medical Past Accepting new patients

Locations

3010 Grand Concourse
Apt L3
Bronx, NY 10458
Phone (718) 220-2433

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

2936 30th Ave
Long Island City, NY 11102
Phone (347) 396-5612

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

Networks

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

Organizations & group practices 7

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": "1134864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1811973241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST END AVENUE",
            "address_2": "SUITE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288015",
            "telephone_number": "646-644-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 ELMHURST AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727935",
            "telephone_number": "718-457-7000",
            "fax_number": "718-457-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUHAJRE",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-18",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.