Jerome H Rosenstein MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2240981 Issued in NY

Legal business name

JEROME H ROSENSTEIN MD PLLC

Practice address

30 Harrison St
Suite 320
Johnson City, NY 13790-2161

Phone

(607) 763-8205

Fax

(607) 763-8208

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jerome Rosenstein, MD

Title

Owner

Phone

(607) 763-8205

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1033459292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST",
            "address_2": "SUITE 320",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902161",
            "telephone_number": "607-763-8205",
            "fax_number": "607-763-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST",
            "address_2": "SUITE 320",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902161",
            "telephone_number": "607-763-8205",
            "fax_number": "607-763-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME H ROSENSTEIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "ROSENSTEIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-763-8205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2240981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02229110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamaelah Javed
• Nilima Vijay Jawale, MD
• Sundar Jayaraman, M.D.
• Michayla Jenkins
• Matthew Jennings, RPH
• Anup Jnawali, MD
• John Charles Maerz Jr MD
• Johnson City Central School District
• Johnson City Family Dental PLLC
• Niveita Johnson, MD

• Specialist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.