Individual provider Active NPI

Wendy Rosen, M.D.

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1013942143
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1991821 Issued in NY
Practice address
11 North Goodman St. Room #24
Rochester, NY 14607
Phone
(585) 473-8180
Fax
(585) 473-8180
NPI assigned
Jul 11, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1991821 NY Primary

Addresses

Primary practice location

11 North Goodman St. Room #24
Rochester, NY 14607

Mailing address

11 North Goodman St. Room #24
Rochester, NY 14607
Phone (585) 473-8180

Other names 1

  • Wendy Wang Rosen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001265 NY Practitioner - Psychiatry 8224019492 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Harvard St
Rochester, NY 14607-2607

2290 E Ave
Suite 9
Rochester, NY 14610-2567
Phone (585) 473-8180

77 Calumet St
Rochester, NY 14610-1505
Phone (585) 473-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1991821NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Rehabilitation Center, Inc PastSince Aug 11, 2005 Accepting new patients
Dr. Wendy Rosen Psychiatry PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1013942143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTH GOODMAN ST. ROOM #24",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-473-8180",
            "fax_number": "585-473-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH GOODMAN ST. ROOM #24",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-473-8180",
            "fax_number": "585-473-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1991821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "WANG ROSEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.