Organization Active NPI

Nathan Rosenfeld M.D. PC

  • Gastroenterology Physician
  • New Rochelle, NY
National Provider Identifier
1083911879
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
143751 Issued in NY
Legal business name
NATHAN ROSENFELD M.D. PC
Practice address
110 Lockwood Ave
New Rochelle, NY 10801-5028
Phone
(914) 636-4030
Fax
(914) 636-4095
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Nathan Samuel Rosenfeld, M.D.NPI 1467535120
Title
President
Phone
(914) 636-4030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 143751 NY Primary

Addresses

Primary practice location

110 Lockwood Ave
New Rochelle, NY 10801-5028

Mailing address

110 Lockwood Ave
New Rochelle, NY 10801-5028
Phone (914) 636-4030

Other identifiers 1

IdentifierTypeStateIssuer
01389028MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000030 NY Part B Supplier - Clinic/Group Practice 5890978787 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY; New Rochelle, NY

National Provider Directory

National Provider Directory

Locations

175 Memorial Hwy
Ste LL12
New Rochelle, NY 10801
Phone (914) 636-4030

Practitioners & affiliated clinicians

Practitioners 1

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": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1083911879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015028",
            "telephone_number": "914-636-4030",
            "fax_number": "914-636-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015028",
            "telephone_number": "914-636-4030",
            "fax_number": "914-636-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN ROSENFELD M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-636-4030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "143751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01389028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.