Rockaway Medical Consultant P.L.L.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ROCKAWAY MEDICAL CONSULTANT P.L.L.C

Practice address

1958 79TH St
Brooklyn, NY 11214-1811

Phone

(347) 228-8843

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By 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

Dmitriy Elkin, MDNPI 1760431761

Title

President

Phone

(347) 228-8843

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitriy Elkin, M.D.

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1760431761
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1669151932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141811",
            "telephone_number": "347-228-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141811",
            "telephone_number": "347-228-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY MEDICAL CONSULTANT P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "ELKIN",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-228-8843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rock
• Rockaway Ave Pharmacy Inc (RAP Drugs)
• Rockaway Ave Supplies Corp
• Rockaway Dental Group PC
• Rockaway Medical Care PC
• Rockaway Podiatry PLLC
• Rockaway RX Inc (Sam Korf Pharmacy)
• Rockaway RX Pharmacy LLC (Rockaway RX Pharmacy)
• Alisa Jeanette Rockett, LPN
• Seth Rockman, LMSW

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.