Organization Active NPI

Mid-Rockland Medical Group PC

  • Internal Medicine Physician
  • Nanuet, NY
National Provider Identifier
1710046768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MID-ROCKLAND MEDICAL GROUP PC
Practice address
104 E Route 59
Nanuet, NY 10954-2957
Phone
(845) 623-4000
Fax
(845) 623-5309
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Theresa Torres
Title
Office Manager
Phone
(845) 623-4000

Specialties & licenses 1

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

Addresses

Primary practice location

104 E Route 59
Nanuet, NY 10954-2957

Mailing address

104 E Route 59
Nanuet, NY 10954-2957
Phone (845) 623-4000

Other names 1

  • BESTCARE Doing business as

National Provider Directory

National Provider Directory

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710046768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542957",
            "telephone_number": "845-623-4000",
            "fax_number": "845-623-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542957",
            "telephone_number": "845-623-4000",
            "fax_number": "845-623-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ROCKLAND MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-623-4000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BESTCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.