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NPI Code Detail

MEDICARE: RACHEL LEAH REBASCH PA-C

MEDICARE: RACHEL LEAH REBASCH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00526200NJ

General Provider Information

NPI Number : 1851952378
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LEAH REBASCH PA-C
Provider Business Mailing Address
First Line : 34 SYCAMORE TER
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-2416
Country : US
Telephone Number : 201-407-7048
Fax Number :
Provider Business Practice Location Address
First Line : 350 ENGLE ST
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-1808
Country : US
Telephone Number : 201-894-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 04/08/2026

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Directions to “ RACHEL LEAH REBASCH PA-C” Practice Location

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