Organization Active NPI

Rockwell Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1649209727
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROCKWELL MEDICAL PC
Practice address
120 E 36TH St Ste 1E
New York, NY 10016-3423
Phone
(917) 447-0840
Fax
(212) 532-6666
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Ms. Jeremie RachunowNPI 1518978634
Title
President/Owner
Phone
(917) 447-0840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

120 E 36TH St Ste 1E
New York, NY 10016-3423

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
RO0S32G610OtherNYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231009003552 NY Part B Supplier - Clinic/Group Practice 6406828417 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

271 US Highway 46
Ste G208
Fairfield, NJ 07004

33 Park Ave
New York, NY 10016
Phone (212) 460-5505

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

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

11 E 44th St
#606
New York, NY 10017
Phone (212) 682-5158

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

1370 Richmond Rd
Staten Island, NY 10304
Phone (718) 317-6756

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1649209727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 36TH ST STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163423",
            "telephone_number": "917-447-0840",
            "fax_number": "212-532-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 36TH ST STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163423",
            "telephone_number": "917-447-0840",
            "fax_number": "212-532-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWELL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "RACHUNOW",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-447-0840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RO0S32G610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.