Active NPI
Clifford B Rosenberg, MD
- Family Medicine Physician
- Torrington, CT
National Provider Identifier
1124061437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 023751
- Practice address
- 333 Kennedy Drive
Foothills Family Medicine
Torrington, CT 06790 - Phone
- (860) 489-3449
- Fax
- (860) 489-0448
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 023751 | CT | Primary |
Addresses
Primary practice location
333 Kennedy Drive
Foothills Family Medicine
Torrington, CT 06790
Mailing address
333 Kennedy Drive
Health One Physician Associates PC Foothills Family
Torrington, CT 06790
Phone (860) 489-3449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001237510 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health One Physician Associates LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Windsor, CT
- NPI 1558477901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1124061437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 KENNEDY DRIVE",
"address_2": "HEALTH ONE PHYSICIAN ASSOCIATES PC FOOTHILLS FAMILY",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-3449",
"fax_number": "860-489-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 KENNEDY DRIVE",
"address_2": "FOOTHILLS FAMILY MEDICINE",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-3449",
"fax_number": "860-489-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "CLIFFORD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "023751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001237510",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.