Organization Active NPI

Rosh OB-GYN Ultrasound PLLC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1063710390
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROSH OB-GYN ULTRASOUND PLLC
Practice address
903 Lexington Ave FRNT 1a
New York, NY 10065-5987
Phone
(212) 249-3949
Fax
(718) 253-2333
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Daniel F. Roshan, MDNPI 1225025547
Title
Practice Owner
Phone
(212) 725-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X

Addresses

Primary practice location

903 Lexington Ave FRNT 1a
New York, NY 10065-5987

Mailing address

PO Box 645981
Cincinnati, OH 45264-5981
Phone (212) 725-0123

Other practice location 1

2603 Dekalb Pike
East Norriton, PA 19401-1818
Phone (212) 725-0123

Other practice location 2

2603 Dekalb Pike
East Norriton, PA 19401-1818
Phone (212) 725-0123

Other practice location 3

115 Plymouth Rd Ste 5
Plymouth Meeting, PA 19462-1407
Phone (212) 725-0123

Other practice location 4

401 S Van Brunt St
Englewood, NJ 07631-4604
Phone (212) 725-0123

Other practice location 5

200 Sheffield St Ste 313
Mountainside, NJ 07092-2321
Phone (212) 249-3949

Other practice location 6

2080 State Route 35 Ste 1
Holmdel, NJ 07733-1091
Phone (212) 725-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20111228000162 NY Part B Supplier - Clinic/Group Practice 5799951554 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20210514000694 NJ Part B Supplier - Clinic/Group Practice 5799951554 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ; Holmdel, NJ
O20210629001242 TX Part B Supplier - Clinic/Group Practice 5799951554 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

415 Old Newport Blvd
Ste 100
Newport Beach, CA 92663
Phone (312) 890-3864

16 Pocono Rd
Ste 105
Denville, NJ 07834
Phone (973) 664-9211

140 Grand Ave
Ste A
Englewood, NJ 07631
Phone (201) 488-1700

3185 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 239-1818

17 Sylvan St
Ste 201
Rutherford, NJ 07070
Phone (201) 438-0539

22 Sylvan St
Ste 300
Rutherford, NJ 07070
Phone (201) 438-8860

903 Lexington Ave
Frnt 1A
New York, NY 10065

213 Madison Ave
New York, NY 10016
Phone (212) 686-6622

213 Madison Ave
Ste 1A
New York, NY 10016

139 Centre St
Ph 102
New York, NY 10013
Phone (212) 226-6780

2603 DeKalb Pike
Norristown, PA 19401
Phone (484) 680-7374

115 Plymouth Rd
Ste 5C1
Plymouth Meeting, PA 19462

9219 Garland Rd
Dallas, TX 75218

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1063710390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645981",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645981",
            "telephone_number": "212-725-0123",
            "fax_number": "718-253-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 LEXINGTON AVE FRNT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655987",
            "telephone_number": "212-249-3949",
            "fax_number": "718-253-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194011818",
            "country_code": "US",
            "telephone_number": "212-725-0123",
            "fax_number": "718-253-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194011818",
            "country_code": "US",
            "telephone_number": "212-725-0123",
            "fax_number": "718-253-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Plymouth Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621407",
            "country_code": "US",
            "telephone_number": "212-725-0123",
            "fax_number": "718-253-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Van Brunt St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076314604",
            "country_code": "US",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Sheffield St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "070922321",
            "country_code": "US",
            "telephone_number": "212-249-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 State Route 35 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331091",
            "country_code": "US",
            "telephone_number": "212-725-0123",
            "fax_number": "718-253-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSH OB-GYN ULTRASOUND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "212-725-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.