Organization Active NPI

RGFM Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891092482
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258052 Issued in NY
Legal business name
RGFM MEDICAL PC
Practice address
2100 Flatbush Ave
Brooklyn, NY 11234-4314
Phone
(718) 513-6632
Fax
(718) 998-9059
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Riva Goldenberg
Title
President
Phone
(718) 998-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 258052 NY Primary

Addresses

Primary practice location

2100 Flatbush Ave
Brooklyn, NY 11234-4314

Mailing address

1716 Avenue T
4G
Brooklyn, NY 11229-3458
Phone (917) 816-5452

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1891092482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 AVENUE T",
            "address_2": "4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293458",
            "telephone_number": "917-816-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344314",
            "telephone_number": "718-513-6632",
            "fax_number": "718-998-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGFM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "RIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-3020"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.