Individual provider Active NPI

Paul G Rathe, LAC

  • Acupuncturist
  • Port Chester, NY
National Provider Identifier
1861627945
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000284 Issued in NY
Practice address
125 N Main St
Suite 502
Port Chester, NY 10573-4229
Phone
(914) 939-0003
Fax
(914) 939-0507
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000284 NY Primary

Addresses

Primary practice location

125 N Main St
Suite 502
Port Chester, NY 10573-4229

Mailing address

125 N Main St
Suite 502
Port Chester, NY 10573-4229
Phone (914) 939-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000284NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1861627945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "address_2": "SUITE 502",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734229",
            "telephone_number": "914-939-0003",
            "fax_number": "914-939-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "address_2": "SUITE 502",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734229",
            "telephone_number": "914-939-0003",
            "fax_number": "914-939-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHE",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.