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Rondout Valley Family Med PC

Family Medicine Physician in Stone Ridge, NY · enumerated 2006 · authorized official Peter Petrulis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679514004

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Registry record

Entity type Organization (Type 2)
Legal business name Rondout Valley Family Med PC
Practice address 10 Gagnon Dr, Stone Ridge, NY, 12484
Fax (845) 687-9953
Enumeration date Jun 9, 2006
Last updated in NPPES Oct 9, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 160527 (NY) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 008467-1 (NY) Secondary

Authorized official

Name Peter Petrulis
Title President

Other identifiers

Identifier Type State Issuer
10031715 Other NY CDPHN
87726 Other NY UNITED HEALTHCARE INS CO
00950523 Medicaid NY -
3292 Other NY GHI HMO SELECT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Rondout Valley Family Med PC?
Rondout Valley Family Med PC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-09.