JACQUELINE RAUSA D.O.
NPI 1366861312
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Q: What is Jacqueline Rausa's NPI number?

The NPI number for Jacqueline Rausa is 1366861312. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Jacqueline Rausa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Rausa was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2014PECOS Enrolled

3959 BROADWAY, NEW YORK, NY 10032(212) 305-5827 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, Mar 17, 2018 (2 updates tracked since 2018).

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About Jacqueline Rausa D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE RAUSA D.O. (NPI 1366861312) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (317223) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366861312

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJACQUELINE RAUSACredential: D.O.

Location Address3959 BROADWAYNew York, NY 10032-1559

Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-5827

Phone(212) 305-5827

Sole ProprietorNo

Enumeration DateApril 7, 2014

Last NPPES UpdateJune 16, 20222 updates tracked since enumeration

NPPES CertifiedJune 16, 2022

✔ NPI 1366861312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 317223

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 0102204738 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3959 BROADWAY, New York, NY 10032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Rausa D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA ISABEL GOOD M.D.

Pediatrics

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

HAE LIN SON

Nurse Practitioner (Neonatal)

3959 BROADWAY
NEW YORK, NY 10032

New York County (201) 696-5960

ELIZABETH ANN BADER

Physician Assistant

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5437

HYO JIN CHO MD

Student in an Organized Health Care Education/Training Program

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

DR. DAVID RUBENSTEIN

Pediatrics (Neonatal-Perinatal Medicine)

3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032

New York County (212) 304-7250

MS. MEREDITH GAROD-MUSIC CPNP

Nurse Practitioner (Pediatrics)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 342-8530

EVIANNA CRUZ HERRERA MD/MPH

Pediatrics (Pediatric Gastroenterology)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5903

SARA BOMBONATO OTR/L

Occupational Therapist

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Rausa's NPI number?

The NPI number for Jacqueline Rausa is 1366861312. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Jacqueline Rausa located?

Jacqueline Rausa practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5827.

What is Jacqueline Rausa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jacqueline Rausa enrolled in Medicare?

Yes. Jacqueline Rausa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Rausa was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.