Individual provider Active NPI

Caroline Jean Rath, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1982826780
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004640 Issued in NY
Practice address
100 E Tupper St
Buffalo, NY 14203-1315
Phone
(716) 919-6870
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004640 NY Primary
Medical Physician Assistant 363AM0700X 004640 NY

Addresses

Primary practice location

100 E Tupper St
Buffalo, NY 14203-1315

Mailing address

100 E Tupper St
Buffalo, NY 14203-1315

Other identifiers 1

IdentifierTypeStateIssuer
004640OtherNYPHYSICIAN ASSISTANT LICENSE

Other names 1

  • Ms. Carol Jean Rath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000552 NY Practitioner - Physician Assistant 9830176056 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4278AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 17, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jun 17, 2022 Accepting new patients
Project Renewal Inc Past Accepting new patients
Jericho Road Ministries Inc. Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

Interoperability endpoints

  • Direct secure messaging: caroline.rath.1@24989.direct.athenahealth.com
  • Direct secure messaging: caroline.rath@pri1.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1982826780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E TUPPER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E TUPPER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031315",
            "telephone_number": "716-919-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATH",
        "first_name": "CAROLINE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004640",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "004640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "RATH",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.