DEREK PAUL GORSKI D.O. NPI 1295999704

NPI Information

NPI: 1295999704
Provider Name: DEREK PAUL GORSKI, D.O.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address: 3448 RTE 31
BELGIUM MEADOWS
BALDWINSVILLE, NY
ZIP 13027
Phone: (315) 622-6595

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NPI Details

Derek Paul Gorski, D.O. is a pediatrics in Baldwinsville, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Derek Paul Gorski, D.O. NPI is 1295999704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3448 RTE 31
BELGIUM MEADOWS
BALDWINSVILLE, NY
ZIP 13027-231
Phone: (315) 622-6595
Fax: (315) 622-3298

The enumeration date for this NPI number is 7/14/2008 and was last updated on 8/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208000000X	Pediatrics		260721	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03351008	MEDICAID	NEW YORK
2	J400063480	MEDICARE PIN	NEW YORK
3	J400049274	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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