Provider Demographics
NPI:1689328411
Name:RG MEDICAL CONSULTING
Entity Type:Organization
Organization Name:RG MEDICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:914-414-2423
Mailing Address - Street 1:100 NEW ROC CITY PLZ APT 222
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6537
Mailing Address - Country:US
Mailing Address - Phone:914-414-2423
Mailing Address - Fax:718-690-7661
Practice Address - Street 1:100 NEW ROC CITY PLZ APT 222
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6537
Practice Address - Country:US
Practice Address - Phone:914-414-2423
Practice Address - Fax:718-690-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service