Elisheva Aziza Rosenfeld, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

057440 Issued in NY

Practice address

1325 Franklin Ave Ste 101
Garden City, NY 11530-1631

Phone

(516) 879-7609

Fax

(516) 879-7610

NPI assigned

Jun 10, 2008

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elisheva Jacob Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Black Hall Dental, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Manhasset, NY
  • NPI 1356091516
  Medicare reassignment NPD
• New York Comprehensive Orthognathic and Maxillofacial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Hyde Park, NY
  • NPI 1699782219
  Medicare reassignment
• Black Hall Dental, P.C.

  • Dentist
  • New Hyde Park, NY
  • NPI 1336991876

  Oral and Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1053571463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE STE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301631",
            "telephone_number": "516-879-7609",
            "fax_number": "516-879-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE STE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301631",
            "telephone_number": "516-879-7609",
            "fax_number": "516-879-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "ELISHEVA",
        "middle_name": "AZIZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHEVA",
            "last_name": "JACOB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Rose
• Gillian Kara Rose
• Leora Rosen
• Andrew B Rosenberg, M.D.
• Gary S Rosenberg, M.D.
• Edwin H Rosenwasser, M.D.
• Wendy Ann Rosete, LCSW
• Roshan Kothandaram Physician P.C
• Frances Gabhriel Ross, MD
• Liana Ross, MHC-LP

• Oral and Maxillofacial Surgery (Dentist) in Garden City, NY
• Providers in Garden City, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.