RONDOUT VALLEY FAMILY MED PC
NPI 1679514004
Family Medicine in Stone Ridge, NY

Q: What is Rondout Valley Family Med PC's NPI number?

The NPI number for Rondout Valley Family Med PC is 1679514004. It was assigned to this organization in the NPPES registry on June 9, 2006.

Q: What is Rondout Valley Family Med PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 09, 2006

10 GAGNON DR, STONE RIDGE, NY 12484(845) 687-9933(845) 687-9953 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rondout Valley Family Med Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONDOUT VALLEY FAMILY MED PC (NPI 1679514004) is a healthcare organization registered as a family medicine in Stone Ridge, New York and active in the NPI registry since June 2006. The organization lists Peter James Petrulis, President, as its authorized official.

NPPES Registry Identity

NPI1679514004

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRONDOUT VALLEY FAMILY MED PC

Location Address10 GAGNON DRStone Ridge, NY 12484-5120

Mailing AddressPo Box 547Stone Ridge, NY 12484-0547 · (845) 687-9933 · Fax (845) 687-9953

Phone(845) 687-9933

Fax(845) 687-9953

Organization SubpartNo

Authorized OfficialPeter James PetrulisPresident · (845) 687-9933

Enumeration DateJune 9, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1679514004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 160527

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 008467-1 (NY)

10 GAGNON DR, Stone Ridge, NY 12484

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Other Identifiers 6

Other87726NY · United Healthcare Ins Co

Medicare PINWXC851NY

Medicare UPINA63887NY

Other10031715NY · Cdphn

Other3292NY · Ghi Hmo Select

Medicaid00950523NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT J TAYLOR MD

Family Medicine