Individual provider Active NPI

Joelle Rogal, M.D.

  • Otolaryngology Physician
  • Harrison, NY
National Provider Identifier
1205154804
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
272627 Issued in NY
Practice address
440 Mamaroneck Ave Ste 412
Harrison, NY 10528-2429
Phone
(914) 761-8667
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 272627 NY Primary

Addresses

Primary practice location

440 Mamaroneck Ave Ste 412
Harrison, NY 10528-2429

Mailing address

440 Mamaroneck Ave Ste 412
Harrison, NY 10528-2429
Phone (914) 761-8667

Other names 1

  • Joelle Glick Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504001301 NY Practitioner - Otolaryngology 6406110105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosmetic Surgery Associates of New York PLLCGroup PAC ID 5092871509, 5 clinicians

Practice addresses (Care Compare)

440 Mamaroneck Ave
Suite 412
Harrison, NY 10528-2429
Phone (914) 328-7802

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Bank, M.D., P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jrogal67569@northwell.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1205154804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282429",
            "telephone_number": "914-761-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282429",
            "telephone_number": "914-761-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGAL",
        "first_name": "JOELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "272627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "GLICK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.