NPIMap

Organization Active NPI

R.G. Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1720007891
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A203762-1 Issued in NY
Legal business name
R.G. MEDICAL, PC
Practice address
907 E Tremont Ave
Bronx, NY 10460-4301
Phone
(718) 589-9588
Fax
(718) 589-9589
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Cornelia Krieger
Title
Provider Coordinator
Phone
(914) 328-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A203762-1 NY Primary

Addresses

Primary practice location

907 E Tremont Ave
Bronx, NY 10460-4301

Mailing address

174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077

Other identifiers 2

IdentifierTypeStateIssuer
203762OtherNYLICENSE
028681MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 95

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

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1720007891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604301",
            "telephone_number": "718-589-9588",
            "fax_number": "718-589-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.G. MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "PROVIDER COORDINATOR",
        "authorized_official_telephone_number": "914-328-8077"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A203762-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "203762",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.