Organization Active NPI

Kenneth M. Rose, M.D.,

  • Personal Emergency Response Attendant
  • New York, NY
National Provider Identifier
1134596570
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
186699 Issued in NY
Legal business name
KENNETH M. ROSE, M.D.,
Practice address
170 William St
New York, NY 10038-2612
Phone
(212) 888-7773
Fax
(212) 421-7930
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Juanita Butler
Title
Administrator
Phone
(212) 888-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 146D00000X 186699 NY Primary

Addresses

Primary practice location

170 William St
New York, NY 10038-2612

Mailing address

300 E 56TH St
Suite #10C
New York, NY 10022-4136
Phone (212) 888-7773

Other names 1

  • Kenneth M. Rose, M.D.,PLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Kenneth M Rose MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1134596570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 56TH ST",
            "address_2": "SUITE #10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224136",
            "telephone_number": "212-888-7773",
            "fax_number": "212-421-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-888-7773",
            "fax_number": "212-421-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. ROSE, M.D.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-888-7773"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "NY",
            "license": "186699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth M. Rose, M.D.,PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.