Active NPI
Goldrock Medical, P.C.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1053510131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 220017
- Legal business name
- GOLDROCK MEDICAL, P.C.
- Practice address
- 139 Fulton St
# 703
New York, NY 10038-2594 - Phone
- (212) 406-0128
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremie Rachunow, MD
- Title
- Owner/President
- Phone
- (973) 575-7342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 220017 | NY | Primary |
Addresses
Primary practice location
139 Fulton St
# 703
New York, NY 10038-2594
Mailing address
139 Fulton St
# 703
New York, NY 10038-2594
Phone (212) 406-0128
National Provider Directory
National Provider DirectoryLocations
139 Fulton St
Rm 703
New York, NY 10038
Phone (212) 406-0127
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New York, NY
- NPI 1417989872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237248000000",
"number": "1053510131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 FULTON ST",
"address_2": "# 703",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382594",
"telephone_number": "212-406-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 FULTON ST",
"address_2": "# 703",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382594",
"telephone_number": "212-406-0128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDROCK MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2009-03-17",
"status": "A",
"authorized_official_last_name": "RACHUNOW",
"authorized_official_first_name": "JEREMIE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "973-575-7342",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "220017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.