Rofeh Medical PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

123563 Issued in NY

Legal business name

ROFEH MEDICAL PC

Practice address

344 Loomis Road
Liberty, NY 12754-3003

Phone

(845) 608-2783

Fax

(845) 439-3154

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Lazar Fruchter, M.D.

Title

Doctor

Phone

(845) 367-2476

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1285077016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306602",
            "telephone_number": "845-608-2783",
            "fax_number": "845-439-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 LOOMIS ROAD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127543003",
            "telephone_number": "845-608-2783",
            "fax_number": "845-439-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROFEH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "FRUCHTER",
        "authorized_official_first_name": "LAZAR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "845-367-2476",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "123563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00974314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Frederick Richman, D.D.S.
• Rebecca Lynn Rielly, RN
• Rite Aid of New York Inc
• Robert P. Nussbaum PH.D Dba Solutions for Health
• Sharon Rockwell-Leroy
• Gary Franklin Rohrs, RN
• Kaitlen Rubin, MSW
• Christine Sachakov, MHNP
• Jyoti S Samant, MS
• Jewel E. Sanchez

• Pediatrics Physician in Liberty, NY
• Providers in Liberty, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.