Active NPI
Michael Richard Rosen, MD
- Orthopaedic Surgery Physician
- White Plains, NY
National Provider Identifier
1053422865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 121266-1
- Practice address
- 220 Westchester Avenue
White Plains, NY 10604 - Phone
- (914) 428-8778
- Fax
- (914) 428-3190
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 121266-1 | NY | Primary |
Addresses
Primary practice location
220 Westchester Avenue
White Plains, NY 10604
Mailing address
220 Westchester Avenue
White Plains, NY 10604
Phone (914) 428-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121266 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 121266-1 | NY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053422865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WESTCHESTER AVENUE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10604",
"telephone_number": "914-428-8778",
"fax_number": "914-428-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WESTCHESTER AVENUE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10604",
"telephone_number": "914-428-8778",
"fax_number": "914-428-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "121266-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.