Ronald Walter Goralewicz, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

40-400141 Issued in NY

Practice address

205 E 78TH St
17J
New York, NY 10021-1243

Phone

(212) 861-4679

Fax

(212) 861-4679

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790706265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 78TH ST",
            "address_2": "17J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211243",
            "telephone_number": "212-861-4679",
            "fax_number": "212-861-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 78TH ST",
            "address_2": "17J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211243",
            "telephone_number": "212-861-4679",
            "fax_number": "212-861-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORALEWICZ",
        "first_name": "RONALD",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40-400141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Govindan Gopinathan, M.D.
• Roshini Gopinathan, MD
• Alyssa Gopman, PA
• Sumeet Gopwani, MD
• Natalie Gor, DDS
• Viktoriya Gorbach, RN
• Sheldon Gorbacz, M.D.
• Rostislav Gorbatov
• Eleanor Gorbovitsky
• Paul Gorczyca, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.