Roslyn Chosak M.D.,L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

022991 Issued in CT

Legal business name

ROSLYN CHOSAK M.D.,L.L.C.

Practice address

2 Church St S
Suite 501
New Haven, CT 06519-1717

Phone

(203) 562-5439

Fax

(203) 624-5157

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roslyn Chosak, M.D.NPI 1528023181

Title

Owner

Phone

(203) 562-5439

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roslyn Chosak, M.D.

  • Gynecology Physician
  • New Haven, CT
  • NPI 1528023181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1205137783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH STREET SOUTH",
            "address_2": "SUITE 501",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "203-562-5439",
            "fax_number": "203-624-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST S",
            "address_2": "SUITE 501",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191717",
            "telephone_number": "203-562-5439",
            "fax_number": "203-624-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLYN CHOSAK M.D.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "CHOSAK",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-562-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "022991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1051396",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OQ2292",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "764-353",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010022991CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NHP086",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Britni Rosenthal, D.D.S
• Michael Allen Rosenthal, MD
• Ronnie A Rosenthal, MD
• Irina G Rosewater, M.D.
• Aleksandra Rosinski, M.D.
• Belinda Ross, LPN
• David A Ross, M.D.
• Jack A Ross, MD
• Joseph S. Ross, MD, MHS
• Judith A Ross, RPT

• Specialist in New Haven, CT
• Providers in New Haven, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.