Active NPI
Rock Medical PC
- Primary Care Clinic/Center
- Jamaica, NY
National Provider Identifier
1780415422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ROCK MEDICAL PC
- Practice address
- 8814 Sutphin Blvd FL 2
Jamaica, NY 11435-3711 - Phone
- (718) 568-9120
- NPI assigned
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farid Shahkoohi, MD
- Title
- Physician
- Phone
- (718) 568-9120
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8814 Sutphin Blvd FL 2
Jamaica, NY 11435-3711
Mailing address
40 Whitman Rd
Great Neck, NY 11023-1828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250513001791 | NY | Part B Supplier - Clinic/Group Practice | 4082132113 |
Receives reassigned benefits from 4 practitioners Practice locations: Jamaica, NY; Long Beach, NY; Lynbrook, NY; Rockville Centre, NY |
National Provider Directory
National Provider DirectoryLocations
8814 Sutphin Blvd
Fl 2
Jamaica, NY 11435
Phone (718) 568-9120
Practitioners & affiliated clinicians
Practitioners 4
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": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1780415422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WHITMAN RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8814 SUTPHIN BLVD FL 2",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353711",
"telephone_number": "718-568-9120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "SHAHKOOHI",
"authorized_official_first_name": "FARID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-568-9120",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.