Individual provider Active NPI

William John Larock, FNP

  • Family Nurse Practitioner
  • Richland, NY
National Provider Identifier
1356658710
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336454 Issued in NY
Practice address
232 Waggoner Rd
Richland, NY 13144-4478
Phone
(315) 298-6654
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336454 NY Primary

Addresses

Primary practice location

232 Waggoner Rd
Richland, NY 13144-4478

Mailing address

232 Waggoner Rd
Richland, NY 13144-4478
Phone (315) 298-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000152 NY Practitioner - Nurse Practitioner 1052595097 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336454NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Physician Health, P.C. CurrentSince Feb 1, 2018 Accepting new patients
Pulaski Medical Urgent Care, P.C CurrentSince Feb 29, 2016 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Nov 26, 2018 Accepting new patients
St Josephs Medical PC CurrentSince Feb 1, 2018 Accepting new patients
North Medical PC Current Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

3858 State Route 13
Pulaski, NY 13142
Phone (315) 298-2273

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

3504 W Genesee St
Ste 1B
Syracuse, NY 13219
Phone (315) 401-0754

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1356658710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WAGGONER RD",
            "city": "RICHLAND",
            "state": "NY",
            "postal_code": "131444478",
            "telephone_number": "315-298-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WAGGONER RD",
            "city": "RICHLAND",
            "state": "NY",
            "postal_code": "131444478",
            "telephone_number": "315-298-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, NY

Sources for this page

Verify at the official NPI Registry.