Organization Active NPI

Gary K Rachlin DO PLLC

  • Family Medicine Physician
  • Bethpage, NY
National Provider Identifier
1477509016
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARY K RACHLIN DO PLLC
Doing business as
Advanced Family Medicine
Practice address
4230 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5700
Phone
(516) 731-1900
Fax
(516) 731-7302
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Jeannine Burtis
Title
Medical Biller
Phone
(516) 731-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4230 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5700

Mailing address

4230 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5700
Phone (516) 731-1900

Other names 1

  • Advanced Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

4230 Hempstead Tpke
#S200
Bethpage, NY 11714
Phone (516) 731-1900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1477509016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "SUITE 200",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-731-1900",
            "fax_number": "516-731-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "SUITE 200",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-731-1900",
            "fax_number": "516-731-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY K RACHLIN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "BURTIS",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "516-731-1900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.