Provider Demographics
NPI:1396559118
Name:RGG MEDICINE PLLC
Entity type:Organization
Organization Name:RGG MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERONEMUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-663-0400
Mailing Address - Street 1:110 E 60TH ST RM 1108
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1821
Mailing Address - Country:US
Mailing Address - Phone:212-663-0400
Mailing Address - Fax:276-284-9287
Practice Address - Street 1:110 E 60TH ST RM 1108
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1821
Practice Address - Country:US
Practice Address - Phone:212-663-0400
Practice Address - Fax:276-284-9287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty