NPIMap

Organization Active NPI

Citywide Family Practice Medical, P.C.

  • Family Medicine Physician
  • Rockaway Beach, NY
National Provider Identifier
1821297458
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CITYWIDE FAMILY PRACTICE MEDICAL, P.C.
Practice address
86-24 Rockaway Blvd
Rockaway Beach, NY 11693
Phone
(718) 318-6554
Fax
(718) 318-7359
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Elena Rabinovich, M.D.NPI 1366526428
Title
Medical Director
Phone
(917) 254-0783

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

86-24 Rockaway Blvd
Rockaway Beach, NY 11693

Mailing address

86-24 Rockaway Blvd
Rockaway Beach, NY 11693
Phone (718) 318-6554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1821297458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-24 ROCKAWAY BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "11693",
            "telephone_number": "718-318-6554",
            "fax_number": "718-318-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-24 ROCKAWAY BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "11693",
            "telephone_number": "718-318-6554",
            "fax_number": "718-318-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE FAMILY PRACTICE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-254-0783",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.