Jennifer A Rawlins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048084-1 Issued in NY

Practice address

90 S Hamilton St
Poughkeepsie, NY 12601-4412

Phone

(845) 473-0683

Fax

(845) 473-0684

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1861533689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE",
            "address_2": "SUITE 504",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014812",
            "telephone_number": "845-473-0683",
            "fax_number": "845-473-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S HAMILTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014412",
            "telephone_number": "845-473-0683",
            "fax_number": "845-473-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048084-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "048084-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Raudnael
• Elizabeth Raun, LCSW
• Kenneth K Rauschenbach, D.O.
• Ravi Hotchandani MD PC
• James T. Rawley, PA-C
• Lilly Rawlyk, PT
• Lakisha Rayford, LPN
• Alicia Nicole Razanousky, PA-C
• Brian M Reade, DPM
• Real Guide Limited Liability Copmany

• General Practice Dentistry in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.