Individual provider Active NPI

Aleksandr V. Rozenberg, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1063406486
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232855-1 Issued in NY
Practice address
40 W Brighton Ave
Brooklyn, NY 11224-4902
Phone
(718) 627-8300
Fax
(718) 627-8302
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 232855-1 NY Primary

Addresses

Primary practice location

40 W Brighton Ave
Brooklyn, NY 11224-4902

Mailing address

108 Burnham Ave
Roslyn Heights, NY 11577-1935
Phone (917) 697-7817

Other identifiers 4

IdentifierTypeStateIssuer
02581657MedicaidNY
1063406486OtherNYNPI
9L165ANH21OtherNYPTAN
ARO9L16510OtherNYMEDICARE PROVIDR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040927001219 NY Practitioner - Anesthesiology 5193794121 Reassigns benefits to 1 organization
I20240217000836 NJ Practitioner - Anesthesiology 5193794121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FRC Anesthesia Group, PLLCGroup PAC ID 9638171812, 2 clinicians

Practice addresses (Care Compare)

40 W Brighton Ave
Suite 104
Brooklyn, NY 11224-4901
Phone (718) 795-7586

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232855-1NYMDAnesthesiology Physician
25MA10433000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: arozenberg1055828@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1063406486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURNHAM AVE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771935",
            "telephone_number": "917-697-7817",
            "fax_number": "516-625-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244902",
            "telephone_number": "718-627-8300",
            "fax_number": "718-627-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBERG",
        "first_name": "ALEKSANDR",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232855-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581657",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063406486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9L165ANH21",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDR",
            "identifier": "ARO9L16510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.