Active NPI
Gary S Rosenberg, M.D.
- Obstetrics & Gynecology Physician
- Garden City, NY
National Provider Identifier
1164532586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 134907
- Practice address
- 877 Stewart Ave
Suite 7
Garden City, NY 11530-4803 - Phone
- (516) 222-0722
- Fax
- (516) 683-0184
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 134907 | NY | Primary |
Addresses
Primary practice location
877 Stewart Ave
Suite 7
Garden City, NY 11530-4803
Mailing address
877 Stewart Ave
Suite 7
Garden City, NY 11530-4803
Phone (516) 222-0722
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113141668 | Other | NY | HORIZON |
| 113141668008 | Other | NY | CIGNA |
| 21216815476 | Other | NY | BEECH STREET |
| OC7423 | Other | NY | PHS (HEALTHNET) |
| 079A9210 | Other | NY | EMPIRE PLAN |
| 113141668 | Other | NY | MULTI PLAN |
| 79A9210 | Other | NY | BLUE CHOICE |
| 0200517 | Other | NY | GHI |
| 305 | Other | NY | VYTRA |
| 4233515 | Other | NY | AETNA PPO/POS |
| 879529 | Other | NY | AETNA |
| AP325 | Other | NY | OXFORD |
| ABO1127 | Other | NY | MDNY |
| 1226579 | Other | NY | UNITED HEALTHCARE |
| 160022513 | Other | NY | RR MEDICARE |
| NS0001322 | Other | NY | SELECT PRO |
| 113141668 | Other | NY | MAGNA CARE |
| 17559 | Other | NY | GHI HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
877 Stewart Ave
Garden City, NY 11530-4803
Phone (516) 222-0722
Hospital & facility affiliations
- North Shore University Hospital
- St Francis Hospital - the Heart Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134907 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij OB GYN at Garden City PC | Obstetrics & Gynecology | Current | Accepting new patients |
| University Plaza Obstetrics & Gynecology, LLP | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
877 Stewart Ave
Ste 7
Garden City, NY 11530
Phone (516) 222-0722
Interoperability endpoints
- gary.rosenberg.1@1756.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1780022772
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1255456745
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164532586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 STEWART AVE",
"address_2": "SUITE 7",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304803",
"telephone_number": "516-222-0722",
"fax_number": "516-683-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 STEWART AVE",
"address_2": "SUITE 7",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304803",
"telephone_number": "516-222-0722",
"fax_number": "516-683-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "GARY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "134907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "113141668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "113141668008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "21216815476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS (HEALTHNET)",
"identifier": "OC7423",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "079A9210",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN",
"identifier": "113141668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "79A9210",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0200517",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "305",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO/POS",
"identifier": "4233515",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "879529",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP325",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "ABO1127",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1226579",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "160022513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "NS0001322",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNA CARE",
"identifier": "113141668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "17559",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.