NPIMap

Individual provider Active NPI

Michael E Rosen, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1114910890
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225604 Issued in NY
Practice address
425 W 59TH St
4A
New York, NY 10019-8022
Phone
(212) 489-8800
Fax
(212) 977-9111
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225604 NY Primary

Addresses

Primary practice location

425 W 59TH St
4A
New York, NY 10019-8022

Mailing address

230 E 79TH St
Apt 18F
New York, NY 10075-1254
Phone (212) 489-8800

Other identifiers 1

IdentifierTypeStateIssuer
02461989MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716001027 NY Practitioner - Internal Medicine 0345229951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 E 95TH St
Apt 6E
New York, NY 10128-4159
Phone (914) 346-5175

25 Scarborough Rd
Briarcliff Manor, NY 10510-2000
Phone (914) 373-5053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
36.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225604NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Eric Rosen, MD, PC Internal Medicine CurrentSince Mar 25, 2007 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 15, 2020 Accepting new patients
All Well Medical Associates PLLC CurrentSince May 1, 2021 Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients
Isabella Geriatric Center, Inc. Past Accepting new patients
150 Riverside Op. LLC Past Accepting new patients

Locations

425 W 59th St
#4A
New York, NY 10019
Phone (212) 489-8800

455 N End Ave
New York, NY 10282
Phone (212) 791-2500

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1114910890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 79TH ST",
            "address_2": "APT 18F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751254",
            "telephone_number": "212-489-8800",
            "fax_number": "212-977-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST",
            "address_2": "4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198022",
            "telephone_number": "212-489-8800",
            "fax_number": "212-977-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.