Active NPI
Rachel Moradian
- Physician Assistant
- Great Neck, NY
National Provider Identifier
1972243244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027611
- Practice address
- 47 Ruxton Rd
Great Neck, NY 11023-1528 - Phone
- (718) 810-8459
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 027611 | NY | Primary |
Addresses
Primary practice location
47 Ruxton Rd
Great Neck, NY 11023-1528
Mailing address
47 Ruxton Rd
Great Neck, NY 11023-1528
Phone (718) 810-8459
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027611 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1972243244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 RUXTON RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231528",
"telephone_number": "718-810-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 RUXTON RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231528",
"telephone_number": "718-810-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORADIAN",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.