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Contact Information

JACOB J RAUCHWERGER, MD
36 LINCOLN AVE FL 1
ROCKVILLE CENTRE, NY11570-5768
 Phone: 516-417-8500
 Fax: 516-208-8828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for JACOB J RAUCHWERGER · (Male)

NPI Number 1295875672
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2007
Last updated 03/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 046111
  • NY License # 229997
  • CT Medicaid 1295875672
  • NY Medicaid 02945586
Hospital affiliation(s)
  • NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC. - (Acute Care)
    2525 KINGS HIGHWAY
    BROOKLYN, NY 11229
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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