NPIMap

Individual provider Active NPI

George Gorich, M.D.

  • Hospitalist Physician
  • Carmel, NY
National Provider Identifier
1730125618
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
231731 Issued in NY
Practice address
672 Stoneleigh Ave
Ste C116
Carmel, NY 10512-4635
Phone
(845) 279-5187
Fax
(845) 279-5168
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231731 NY
Hospitalist Physician 208M00000X 231731 NY Primary

Addresses

Primary practice location

672 Stoneleigh Ave
Ste C116
Carmel, NY 10512-4635

Mailing address

672 Stoneleigh Ave
Ste C116
Carmel, NY 10512-4635
Phone (845) 279-5187

Other identifiers 1

IdentifierTypeStateIssuer
02630248MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000699 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476513284 Reassigns benefits to 1 organization
Practice locations: Carmel, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

672 Stoneleigh Ave
Suite C116
Carmel, NY 10512-4635
Phone (914) 441-8504

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Management LLC CurrentSince Feb 1, 2010 Accepting new patients
Waterview Acquisition I LLC Past Accepting new patients
Salem Acquisition I LLC Past Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients
Putnam Operation Acquisition I LLC Past Accepting new patients
George Gorich, M.D.,P.C. Internal Medicine PastSince Oct 1, 2010 Accepting new patients
Yrnc Operating LLC Past Accepting new patients

Locations

36 Airport Rd
Ste 101
Lakewood, NJ 08701

46 Mount Ebo Rd N
Brewster, NY 10509
Phone (201) 654-3130

300 Gleed Ave
East Aurora, NY 14052

Interoperability endpoints

  • Direct secure messaging: geg9062@direct.nyp.org
  • Direct secure messaging: ggorich@direct.health-quest.org
  • Direct secure messaging: gorich.george.066.0320247@ggmd.meditab.direct-ci.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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1730125618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 STONELEIGH AVE",
            "address_2": "STE C116",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105124635",
            "telephone_number": "845-279-5187",
            "fax_number": "845-279-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 STONELEIGH AVE",
            "address_2": "STE C116",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105124635",
            "telephone_number": "845-279-5187",
            "fax_number": "845-279-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORICH",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231731",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "231731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02630248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.