Individual provider Active NPI

Rebecca L Aschoff, RN

  • Registered Nurse
  • Port Jervis, NY
National Provider Identifier
1962627562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
447811-1 Issued in NY
Practice address
15 Jersey Ave
Port Jervis, NY 12771-2436
Phone
(845) 692-8780
Fax
(845) 692-3439
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 447811-1 NY Primary

Addresses

Primary practice location

15 Jersey Ave
Port Jervis, NY 12771-2436

Mailing address

15 Jersey Ave
Port Jervis, NY 12771-2436
Phone (845) 692-8780

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
447811-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962627562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JERSEY AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712436",
            "telephone_number": "845-692-8780",
            "fax_number": "845-692-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JERSEY AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712436",
            "telephone_number": "845-692-8780",
            "fax_number": "845-692-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHOFF",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "447811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.