Derek Paul Gorski, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

260721 Issued in NY

Practice address

3448 Rte 31
Belgium Meadows
Baldwinsville, NY 13027-9231

Phone

(315) 622-6595

Fax

(315) 622-3298

NPI assigned

Jul 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brighton Hill Pediatrics, R.L.L.P.

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1205983798
  NPD (past)
• Suny Health Science Center at Syracuse

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1295999704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 RTE 31",
            "address_2": "BELGIUM MEADOWS",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279231",
            "telephone_number": "315-622-6595",
            "fax_number": "315-622-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 RTE 31",
            "address_2": "BELGIUM MEADOWS",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279231",
            "telephone_number": "315-622-6595",
            "fax_number": "315-622-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSKI",
        "first_name": "DEREK",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "260721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03351008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Golebiowska-Dal, PT
• Good Health
• Brian W Goodwin, PHARM.D.
• Gorham Mental Health Counseling, PLLC
• Jilleen Elizabeth Gorham, MS, LMHC
• Kiersten Lee Grabowski, M.S. CCC-SLP
• Bethany Gratien
• Regina Gravante
• Greater Baldwinsville Ambulance Corp
• Erin Greenwood, CCC-SLP

• Pediatrics Physician in Baldwinsville, NY
• Providers in Baldwinsville, 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 Aug 27, 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.