Individual provider Active NPI

Mark Steven Rosenkranz, DDS

  • General Practice Dentistry
  • Valley Stream, NY
National Provider Identifier
1083635478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
031794 Issued in NY
Practice address
893 Hewlett Dr
Valley Stream, NY 11581-2726
Phone
(516) 791-8932
Fax
(516) 791-8936
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 031794 NY Primary

Addresses

Primary practice location

893 Hewlett Dr
Valley Stream, NY 11581-2726

Mailing address

893 Hewlett Dr
Valley Stream, NY 11581-2726
Phone (516) 791-8932

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083635478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 HEWLETT DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812726",
            "telephone_number": "516-791-8932",
            "fax_number": "516-791-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 HEWLETT DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812726",
            "telephone_number": "516-791-8932",
            "fax_number": "516-791-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENKRANZ",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, 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.

Verify at the official NPI Registry.