Rockaway Physician PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ROCKAWAY PHYSICIAN PLLC

Practice address

327 Beach 19TH St
Far Rockaway, NY 11691-4423

Phone

(718) 869-7223

Fax

(718) 869-7176

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Abiola Familusi, MDNPI 1649351214

Title

Chairman

Phone

(718) 327-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abiola Olawale Familusi, MD

  • Internal Medicine Physician
  • Blanchester, OH
  • NPI 1649351214
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962524447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913645",
            "telephone_number": "718-327-3722",
            "fax_number": "718-327-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "718-869-7223",
            "fax_number": "718-869-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAMILUSI",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-327-3722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockaway HD LLC
• Rockaway Home Attendant Services, Inc
• Rockaway Home Attendant Services, Inc.
• Rockaway Kidney Center LLC
• Rockaway Operations Associates LLC
• Rockaway Vendor Housekeeping Services, Inc.
• Golda Rockove, MSW
• Diana Patricia Rodriguez, PA-C
• Sheida Kissairis Rodriguez
• Tiana Alexis Rodriguez, M.S., CCC-SLP

• Emergency Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.