MEDICARE: DR. JANET U. GORKIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	122374	NY
2	207RN0300X	Nephrology Physician	122374	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00018506	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-02707	OTHER	NY	UNITED HEALTHCARE MC
2	1000001564	OTHER	NY	AFFINITY HEALTHPLAN
3	54-2067915	OTHER	NY	HORIZON HEALTHCARE
4	BX0000201	OTHER	NY	SELECT PRO
6	2513647	OTHER	NY	GHI
7	54-2067915	OTHER	NY	MAGNACARE
8	54-206791501	OTHER	NY	1199 NATIONAL BENEFIT FUN
9	GS232	OTHER	NY	OXFORD PROVIDER NUMBER
10	0683799	OTHER	NY	UNITED HEALTHCARE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	0618226	OTHER	NY	CIGNA PROVIDER NUMBER
13	122379-E14	OTHER	NY	HEALTHFIRST PROVIDER #
14	54-2067915	OTHER	NY	AETNA HEALTH PLAN
15	54-206791501	OTHER	NY	1199 MEMBERS CHOICE
16	6X7841	OTHER	NY	BC BS COMMERCIAL
17	040426024500	OTHER	NY	FIDELIS CARE OF NEW YORK
18	0H2051	OTHER	NY	HEALTHNET PROVIDER NUMBER

General Provider Information

NPI Number	:	1245346345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET U. GORKIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 318
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-0318
Country	:	US
Telephone Number	:	718-881-5100
Fax Number	:	718-881-5700

Provider Business Practice Location Address
First Line	:	3327 BAINBRIDGE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2801
Country	:	US
Telephone Number	:	718-881-5100
Fax Number	:	718-881-5700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	05/19/2022

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