Active NPI
Daniel Raucher, P.A.
- Physician Assistant
- Staten Island, NY
National Provider Identifier
1881845154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012933
- Practice address
- 355 Bard Ave
Richmond University Medical Center
Staten Island, NY 10310-1664 - Phone
- (718) 818-1117
- NPI assigned
- Oct 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 012933 | NY | Primary |
Addresses
Primary practice location
355 Bard Ave
Richmond University Medical Center
Staten Island, NY 10310-1664
Mailing address
PO Box 537
Livingston, NJ 07039-0537
Phone (800) 345-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012933 | NY | MD | Mental Health Counselor |
| 2851 | WV | MD | General Practice Dentistry |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- daniel.raucher@direct.hvhc.org
- draucher1136083@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Emergency Medicine Physician
- Flushing, NY
- NPI 1407269186
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- Emergency Medicine Physician
- Paramus, NJ
- NPI 1851616544
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1881845154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070390537",
"telephone_number": "800-345-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVE",
"address_2": "RICHMOND UNIVERSITY MEDICAL CENTER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101664",
"telephone_number": "718-818-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCHER",
"first_name": "DANIEL",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.