Organization Active NPI

Rorick Podiatry PC

  • Podiatrist
  • New York Mills, NY
National Provider Identifier
1215339841
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006028 Issued in NY
Legal business name
RORICK PODIATRY PC
Practice address
587 Main St
New York Mills, NY 13417-1481
Phone
(315) 736-8637
Fax
(315) 736-3423
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Gregory Rorick, DPMNPI 1376588640
Title
Podiatrist
Phone
(315) 736-8637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 006028 NY Primary

Addresses

Primary practice location

587 Main St
New York Mills, NY 13417-1481

Mailing address

587 Main St
Suite 102B
New York Mills, NY 13417-1481
Phone (315) 736-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150417000457 NY DME Supplier - Physician - Podiatry 4587982897 Practice locations: New York Mills, NY
O20150504000730 NY Part B Supplier - Clinic/Group Practice 4587982897 Receives reassigned benefits from 2 practitioners
Practice locations: New York Mills, NY

National Provider Directory

National Provider Directory

Locations

587 Main St
New York Mls, NY 13417
Phone (315) 736-5163

587 Main St
Ste 102B
New York Mls, NY 13417
Phone (315) 736-7637

Practitioners & affiliated clinicians

Practitioners 3

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": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1215339841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "address_2": "SUITE 102B",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171481",
            "telephone_number": "315-736-8637",
            "fax_number": "315-736-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171481",
            "telephone_number": "315-736-8637",
            "fax_number": "315-736-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RORICK PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "RORICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "315-736-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.