Ageonics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

220017-1 Issued in NY

Legal business name

AGEONICS

Practice address

109 E 36TH St
New York, NY 10016-3447

Phone

(212) 510-7020

Fax

(212) 510-7021

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremie Rachunow, M.D.

Title

Officer

Phone

(212) 510-7020

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1396020145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163447",
            "telephone_number": "212-510-7020",
            "fax_number": "212-510-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163447",
            "telephone_number": "212-510-7020",
            "fax_number": "212-510-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEONICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "RACHUNOW",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "212-510-7020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010496-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ageless Men's Health PC
• Steven Agemy, M.D.
• Jody Agena, PHARMD
• Laurence Valerie Agenor, PT, DPT, CSCS
• Walmonde Agenor, LMSW
• Cara Lyn Agerstrand, MD
• Natalya Ageyeva, NP
• Agf Psychologist PLLC
• Amit Aggarwal, M.D.
• Divya Singla Aggarwal

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.