Active NPI
Eric A Rose, M.D.
- Specialist
- New York, NY
National Provider Identifier
1124062179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 130782-1
- Practice address
- 35 E 62ND St
New York, NY 10065-8014 - Phone
- (212) 572-5163
- Fax
- (212) 572-5164
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 130782-1 | NY | Primary |
Addresses
Primary practice location
35 E 62ND St
New York, NY 10065-8014
Mailing address
35 E 62ND St
New York, NY 10065-8014
Phone (212) 572-5163
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130782-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1124062179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658014",
"telephone_number": "212-572-5163",
"fax_number": "212-572-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658014",
"telephone_number": "212-572-5163",
"fax_number": "212-572-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "130782-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.