Physician Compare National (NPI:1518978634)

HEALTHCARE PROVIDER: JEREMIE RACHUNOW M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518978634
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971572298
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041001000902
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RACHUNOW
	Individual professional last name
Provider First Name	JEREMIE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	AMERICAN MEDICAL TODAY PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1254680366
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	22719 MERRICK BLVD
	Group Practice or individual's line 1 address
City	LAURELTON
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	114132104
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7182764482
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y