Individual provider Active NPI

Gary Franklin Rohrs, RN

  • Registered Nurse
  • Liberty, NY
National Provider Identifier
1093982522
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
3416621 Issued in NY
Practice address
60 Sunset Lake Road
Sullivan County Adult Care Center
Liberty, NY 12754-0000
Phone
(845) 292-8640
Fax
(845) 292-8235
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 3416621 NY Primary

Addresses

Primary practice location

60 Sunset Lake Road
Sullivan County Adult Care Center
Liberty, NY 12754-0000

Mailing address

Box 520
72 Pocahontas Trail
Smallwood, NY 12778-0520
Phone (845) 796-6974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
3416621NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1093982522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 520",
            "address_2": "72 POCAHONTAS TRAIL",
            "city": "SMALLWOOD",
            "state": "NY",
            "postal_code": "127780520",
            "telephone_number": "845-796-6974",
            "fax_number": "845-292-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SUNSET LAKE ROAD",
            "address_2": "SULLIVAN COUNTY ADULT CARE CENTER",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127540000",
            "telephone_number": "845-292-8640",
            "fax_number": "845-292-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRS",
        "first_name": "GARY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3416621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.