Active NPI
Nicholas Rogu, M.D.
- Pediatrics Physician
- Commack, NY
National Provider Identifier
1922196948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 233227
- Practice address
- 646 Commack Rd
R.B.K Pediatrics
Commack, NY 11725-5404 - Phone
- (631) 499-4114
- Fax
- (631) 499-1468
- NPI assigned
- Oct 11, 2006
- Last updated
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 233227 | NY | Primary |
Addresses
Primary practice location
646 Commack Rd
R.B.K Pediatrics
Commack, NY 11725-5404
Mailing address
56 Old Brook Road
Dix Hills, NY 11746-6432
Phone (631) 940-2960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00401381 | Other | NY | GROUP MA # |
| 02201256 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233227 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RBK Pediatrics PC | Pediatrics | Past | Accepting new patients |
| Good Samaritan Hospital Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- Pediatrics Physician
- Commack, NY
- NPI 1417983024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1922196948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 OLD BROOK ROAD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466432",
"telephone_number": "631-940-2960",
"fax_number": "631-666-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 COMMACK RD",
"address_2": "R.B.K PEDIATRICS",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255404",
"telephone_number": "631-499-4114",
"fax_number": "631-499-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGU",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "233227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MA #",
"identifier": "00401381",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02201256",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.