Far Rockaway Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

199910 Issued in NY

Legal business name

FAR ROCKAWAY MEDICAL PC

Practice address

714 Beach 20TH St
Far Rockaway, NY 11691

Phone

(212) 686-6700

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Sergey Gabinsky

Title

Owner

Phone

(718) 327-5400

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 2

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

• Rakesh Gupta, M.D.

  • Cardiovascular Disease Physician
  • Queens Village, NY
  • NPI 1922144302
  NPD (past)
• George Fawzi Tawdros, P.T.

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1326243098
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1295957652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913502",
            "telephone_number": "718-327-5400",
            "fax_number": "718-327-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "212-686-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR ROCKAWAY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "GABINSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-327-5400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "199910-B79",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "4C6779",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "54094N",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P480275",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2546746",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5227079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "534733",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "BK0004505",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2602083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Familia
• Family Pediatric
• Olawumi Teju Famojuro
• Far Rockaway Drugs Inc
• Far Rockaway Drugs Inc.
• Far Rockaway Medical PC
• Far Rockaway Orthodontics, PC
• Far Rockaway Pharmacy Corp
• Far Rockaway VA Clinic
• Far Tech Inc

• All providers in Far Rockaway, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.