1629534839 NPI number — RACHEL SIEGEL-JOFFE LCSW PLLC

Table of content: (NPI 1629534839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629534839 NPI number — RACHEL SIEGEL-JOFFE LCSW PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RACHEL SIEGEL-JOFFE LCSW PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629534839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 KIPLING DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENLAWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11740-2700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-916-9970
Provider Business Mailing Address Fax Number:
631-261-1717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
535 BROADHOLLOW RD STE B32
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MELVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11747-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-916-9970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2019

Additional Information

Authorized Official

Authorized Official Last Name:
SIEGEL-JOFFE
Authorized Official First Name:
RACHEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER- PRACTITIONER
Authorized Official Telephone Number:
631-261-1717

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NONE . This is a "AARP UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "TRI CARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 03213816 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1459100 . This is a "BEACON HEALTH STRATEGIES" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "OPTUM BEHAVIORAL HEALTH" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "UNITED HEALTH CRAE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "AETNA MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "MAGNA CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5200775 . This is a "CIGNA BEHAVIORAL HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "SIEBA- MAGNACARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 11315 . This is a "FIDELIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "HEALTH FIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "EMBLEM HEALTH- GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "OXFORD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "FIDELIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 741952 . This is a "VALOP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NONE . This is a "GLOBE LIFE INSURANCE COMPANY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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