Rockland Integrative Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ROCKLAND INTEGRATIVE MEDICINE, PLLC

Practice address

2 Medical Park Dr
West Nyack, NY 10994-1965

Phone

(845) 358-4000

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Jill Fetell, MDNPI 1013072404

Title

Owner

Phone

(845) 362-8400

Specialties & licenses 3

Addresses

Practitioners 1

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

• Jill Fetell, MD

  • Internal Medicine Physician
  • Pomona, NY
  • NPI 1013072404
  NPD (past) Authorized official

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1124264999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMANS MEMORIAL DR",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "845-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "FETELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-362-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockland Children's Psychiatric Center
• Rockland Children's Psychiatric Center (2 First Ave)
• Rockland Ear, Nose, & Throat Assoc., P.C.
• Rockland Family Chiropractic Care PC
• Rockland Infectious Disease, LLP
• Rockland Neurological Associates PC
• Rockland Pulmonary and Medical Associates, PC
• Rockland Recovery Physical Therapy, PLLC
• Rockland Renal Associates LLP
• Bruce Michael Rodin, D.P.M.

• Physical Medicine & Rehabilitation Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.