Organization Active NPI

The Rogosin Institute, Inc

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1154573566
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
THE ROGOSIN INSTITUTE, INC
Practice address
505 E 70TH St
2ND Floor
New York, NY 10021-4872
Phone
(212) 746-6972
Fax
(212) 702-9588
NPI assigned
Oct 16, 2008
Organization subpart
Yes
Parent organization
THE ROGOSIN INSTITUTE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Bruce R Gordon, M.D.
Title
Cheif Operating Officer
Phone
(212) 746-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

505 E 70TH St
2ND Floor
New York, NY 10021-4872

Mailing address

504-506 East 74TH Street
5TH Floor
New York, NY 10021-3486
Phone (646) 317-0684

Other identifiers 1

IdentifierTypeStateIssuer
00481732MedicaidNY

Other names 1

  • Comprehensive Lipid Control Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001082 NY Part B Supplier - Clinic/Group Practice 2163312745 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodside, NY; New York, NY; Flushing, NY; Brooklyn, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bruce R Gordon14 organizations share this tax ID, including this one
Part of
Bruce R Gordon

Other organizations with this tax ID 13

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

View all 13

Locations

432 E 71st St
New York, NY 10021
Phone (212) 746-1578

Practitioners & affiliated clinicians

Practitioners 4

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1154573566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504-506 EAST 74TH STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213486",
            "telephone_number": "646-317-0684",
            "fax_number": "212-249-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 70TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "212-746-6972",
            "fax_number": "212-702-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROGOSIN INSTITUTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ROGOSIN INSTITUTE, INC",
        "enumeration_date": "2008-10-16",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-746-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00481732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Lipid Control Center",
            "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 Apr 1, 2015; 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.

Verify at the official NPI Registry.