Active NPI
Nathan Rosenfeld M.D. PC
- Gastroenterology Physician
- New Rochelle, NY
National Provider Identifier
1083911879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 143751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Samuel Rosenfeld, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01389028 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- New Rochelle, NY
- NPI 1467535120
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.