NPIMap

Organization Active NPI

Rockapulco Medical Assoc PC

  • Internal Medicine Physician
  • Rockaway Park, NY
National Provider Identifier
1073698221
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROCKAPULCO MEDICAL ASSOC PC
Practice address
12005 Newport Avenue
Rockaway Park, NY 11694
Phone
(718) 474-5027
Fax
(718) 474-4899
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maryellen Galvin
Title
Office MGR
Phone
(718) 474-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12005 Newport Avenue
Rockaway Park, NY 11694

Mailing address

12005 Newport Avenue
Rockaway Park, NY 11694
Phone (718) 474-5027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1073698221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 NEWPORT AVENUE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-5027",
            "fax_number": "718-474-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 NEWPORT AVENUE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-5027",
            "fax_number": "718-474-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAPULCO MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "718-474-5027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.