Provider Demographics
NPI:1245346345
Name:GORKIN, JANET U (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:U
Last Name:GORKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 318
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-0318
Mailing Address - Country:US
Mailing Address - Phone:718-881-5100
Mailing Address - Fax:718-881-5700
Practice Address - Street 1:3327 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2801
Practice Address - Country:US
Practice Address - Phone:718-881-5100
Practice Address - Fax:718-881-5700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122374207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
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NY1000001564OtherAFFINITY HEALTHPLAN
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NYP00018506OtherRAILROAD MEDICARE
NY2513647OtherGHI
NY54-2067915OtherMAGNACARE
NY54-206791501Other1199 NATIONAL BENEFIT FUN
NYGS232OtherOXFORD PROVIDER NUMBER
NY0683799OtherUNITED HEALTHCARE
NY00420948Medicaid
NY0618226OtherCIGNA PROVIDER NUMBER
NY122379-E14OtherHEALTHFIRST PROVIDER #
NY54-2067915OtherAETNA HEALTH PLAN
NY54-206791501Other1199 MEMBERS CHOICE
NY6X7841OtherBC BS COMMERCIAL
NY040426024500OtherFIDELIS CARE OF NEW YORK
NY0H2051OtherHEALTHNET PROVIDER NUMBER
NY0618226OtherCIGNA PROVIDER NUMBER
NY0H2051OtherHEALTHNET PROVIDER NUMBER