Lyndon F Rose, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

223910 Issued in NY

Practice address

16303 Horace Harding Expy
4TH Floor
Flushing, NY 11365-1454

Phone

(718) 670-4201

Fax

(718) 670-4160

NPI assigned

Jul 15, 2011

Last updated

Jul 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1174811806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY",
            "address_2": "4TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651454",
            "telephone_number": "718-670-4201",
            "fax_number": "718-670-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY",
            "address_2": "4TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651454",
            "telephone_number": "718-670-4201",
            "fax_number": "718-670-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LYNDON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "223910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roosevelt RX, Inc.
• Kristy Rosado, COTA
• Adriana Sophia Rosales, LMSW
• Juanita Rosario, BIL SPEC ED
• Tannya Rosas
• Melissa Lobel Rose, MD
• Amanda Perez Rosen, DDS
• Jeffrey Rosen, M.D.
• Faigi R Rosenberg, PH.D.
• Howard J Rosenberg

• Public Health & General Preventive Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.