Provider Demographics
NPI:1346590544
Name:RONAK MEDICAL CARE PC
Entity Type:Organization
Organization Name:RONAK MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GIRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-663-3600
Mailing Address - Street 1:765 AMSTERDAM AVE
Mailing Address - Street 2:STE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5722
Mailing Address - Country:US
Mailing Address - Phone:212-663-3600
Mailing Address - Fax:212-663-3603
Practice Address - Street 1:765 AMSTERDAM AVE
Practice Address - Street 2:STE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5722
Practice Address - Country:US
Practice Address - Phone:212-663-3600
Practice Address - Fax:212-663-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193928207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP1330OtherOXFORD
164996OtherELDERPLAN
229623OtherWELLCARE OF NEW YORK
4935247011OtherCIGNA HEALTHCARE
075AA2OtherEMPIRE BLUE CROSS/BLUE SHIELD
112089POtherHIP OF NEW YORK
2594037OtherGHI
RMCO-0087OtherMETROPLUS
110088503OtherRAILROAD MEDICARE
NY01467918Medicaid
NP1330OtherOXFORD
RMCO-0087OtherMETROPLUS