Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremie Rachunow, MD

Individual provider Family Medicine Physician · NPI 1518978634

Jeremie Rachunow, MD is an Internal Medicine in Staten Island, New York. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3974 Amboy Rd Ste 302
Staten Island, NY 10308-2414
Phone: (718) 967-1071
Fax: (718) 966-0359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 220017 (NY)

Record details

NPI number1518978634
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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