Organization Active NPI

Amy V Gorczynski RN MD PC

  • Internal Medicine Physician
  • New Hartford, NY
National Provider Identifier
1467629600
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212459 Issued in NY
Legal business name
AMY V GORCZYNSKI RN MD PC
Practice address
1 Ellinwood CT
New Hartford, NY 13413-1100
Phone
(315) 507-4312
NPI assigned
May 15, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Dr. Amy V Gorczynski, MD
Title
President Owner
Phone
(315) 507-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212459 NY Primary

Addresses

Primary practice location

1 Ellinwood CT
New Hartford, NY 13413-1100

Mailing address

1 Ellinwood Court
New Hartford, NY 13417
Phone (315) 507-4312

Other identifiers 1

IdentifierTypeStateIssuer
01891737MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1467629600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELLINWOOD COURT",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13417",
            "telephone_number": "315-507-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELLINWOOD CT",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131100",
            "telephone_number": "315-507-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY V GORCZYNSKI RN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "GORCZYNSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "315-507-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01891737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.