Individual provider Active NPI

Jessica Kate Rosenberg, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043630577
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
267808 Issued in NY
Practice address
165 Smith St
Brooklyn, NY 11201-6337
Phone
(212) 441-4380
Fax
(415) 252-7176
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 267808 NY Primary

Addresses

Primary practice location

165 Smith St
Brooklyn, NY 11201-6337

Mailing address

165 Smith St
Brooklyn, NY 11201-6337
Phone (212) 441-4380

Other practice location 1

805 Atlantic St
Stamford, CT 06902
Phone (203) 327-5111

Other practice location 2

805 Atlantic St
Stamford, CT 06902
Phone (203) 327-5111

Other identifiers 1

IdentifierTypeStateIssuer
53037OtherCTCT STATE LICENSE

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
I20181001001859 NY Practitioner - Family Practice 0446476998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of MedicineGroup PAC ID 0648408575, 29 clinicians

Practice addresses (Care Compare)

165 Smith St
Brooklyn, NY 11201-6337
Phone (212) 441-4380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267808NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Family Medicine CurrentSince Jan 13, 2026 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jan 13, 2026 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

589 3rd Ave
New York, NY 10016
Phone (212) 321-7002

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

Interoperability endpoints

  • Direct secure messaging: jessicarosenberg@mai.allscriptsdirect.net

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1043630577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "212-441-4380",
            "fax_number": "212-867-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "212-441-4380",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "06902",
            "country_code": "US",
            "telephone_number": "203-327-5111",
            "fax_number": "203-327-2991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "06902",
            "country_code": "US",
            "telephone_number": "203-327-5111",
            "fax_number": "203-327-2991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JESSICA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "53037",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.