Individual provider Active NPI

Jeremie Rachunow, M.D.

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1518978634
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220017 Issued in NY
Practice address
3974 Amboy Rd Ste 302
Staten Island, NY 10308-2414
Phone
(718) 967-1071
Fax
(718) 966-0359
NPI assigned
Aug 11, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 220017 NY Primary

Addresses

Primary practice location

3974 Amboy Rd Ste 302
Staten Island, NY 10308-2414

Mailing address

250 E 54TH St Apt 29B
New York, NY 10022-4816
Phone (718) 967-1071

Other identifiers 1

IdentifierTypeStateIssuer
JR05372D10OtherNYBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000902 NY Practitioner - Internal MedicinePractitioner - Family Practice 3971572298 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Medical Today PCGroup PAC ID 1254680366, 7 clinicians

Practice addresses (Care Compare)

120 E 36TH St
Suite 1E
New York, NY 10016-3423
Phone (917) 447-0840

474 Ovington Ave
Brooklyn, NY 11209-1550
Phone (718) 238-2625

527 Coney Island Ave
FRNT 1
Brooklyn, NY 11218-3476
Phone (718) 306-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwell Medical PC CurrentSince Feb 2, 2004 Accepting new patients
Arjun Medical Group PC CurrentSince Jul 25, 2023 Accepting new patients
American Medical Today P.C. CurrentSince Nov 1, 2019 Accepting new patients
Infinite Wellness Medical PC Family Medicine PastSince Sep 4, 2016 Accepting new patients
Midtown Medical Care, P.C. Family Medicine PastSince Dec 28, 1995 Accepting new patients
Medical Office PC Past Accepting new patients
Medrock Medical PC Family Medicine Past Accepting new patients

Locations

271 US Highway 46
Ste G208
Fairfield, NJ 07004

17 W Oak St
Amityville, NY 11701
Phone (516) 216-1690

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

22719 Merrick Blvd
Laurelton, NY 11413
Phone (718) 276-4482

120 E 36th St
Ste 1E
New York, NY 10016
Phone (212) 888-2222

139 Fulton St
Rm 700
New York, NY 10038
Phone (212) 406-0127

20 E 46th St
Rm 1102
New York, NY 10017
Phone (212) 682-5158

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jeremie.rachunow.1@13555.direct.athenahealth.com

Organizations & group practices 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1518978634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 54TH ST APT 29B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224816",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD STE 302",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082414",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHUNOW",
        "first_name": "JEREMIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "JR05372D10",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.