Risa Schwed Gorelick

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

188222-1 Issued in NY

Practice address

205 Airport Executive Park
Nanuet, NY 10954-5262

Phone

(845) 356-3610

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, NY
  • NPI 1942903588
  NPD

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1811978968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELICK",
        "first_name": "RISA",
        "middle_name": "SCHWED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "188222-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01414924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Goldstein, LCSW
• Olivia Ida Gomez, RN
• Deliela Gonzalez
• Julie Gonzalez, REGISTERED NURSE
• Trevonafaith Gordon, LPN
• Paul Edward Gould, DDS
• James Joseph Gregory, D.C.
• Richard John Gregory, DC
• Robert A.D. Gregory, D.C.
• Maryellen A. Griffin, MS, CCC-SLP

• Pediatric Adolescent Medicine Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.