Individual provider Active NPI

Migdalis Rivera Rosado, M.D.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1215087861
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2426091 Issued in NY
Practice address
609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone
(212) 544-0440
Fax
(212) 544-0505
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2426091 NY Primary

Addresses

Primary practice location

609 W 188TH St
Suite GFW
New York, NY 10040-4246

Mailing address

609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone (212) 544-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2426091NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1215087861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROSADO",
        "first_name": "MIGDALIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "2426091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2007; 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.