Rahel Eyassu, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

216680 Issued in NY

Practice address

1900 2ND Ave
9TH Floor
New York, NY 10029-7406

Phone

(212) 360-7893

Fax

(212) 360-7400

NPI assigned

Jul 25, 2006

Last updated

May 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Vincent's Midtown Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1124136403
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400371200000",
    "number": "1972525954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 2ND AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297406",
            "telephone_number": "212-360-7893",
            "fax_number": "212-360-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 2ND AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297406",
            "telephone_number": "212-360-7893",
            "fax_number": "212-360-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYASSU",
        "first_name": "RAHEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216680",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA066430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Exra
• Extend Rehab LLC
• Extended Holding Company, LLC (Extended at Home Care)
• Extending Roots LCSW PC
• Jason Exter, PHARMD
• Robert Eyckmans
• Elina Eydlin
• Olga Eydlin, M.D.
• Eye 42, Inc (Cohen's Fashion Optical)
• Eye and Health Tribeca Inc (Tribeca Eye and Health)

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; 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.