Active NPI
Leonard Rosmarin, MD
- Dermatology Physician
- Whitestone, NY
National Provider Identifier
1225144694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 131183
- Practice address
- 18-15 Francis Lewis Blvd
Whitestone, NY 11357-3895 - Phone
- (718) 746-5463
- Fax
- (718) 746-1967
- NPI assigned
- Aug 21, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 131183 | NY | Primary |
Addresses
Primary practice location
18-15 Francis Lewis Blvd
Whitestone, NY 11357-3895
Mailing address
18-15 Francis Lewis Blvd
Whitestone, NY 11357-3895
Phone (718) 746-5463
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4206044 | Other | AETNA | |
| 26003P | Other | HIP | |
| DS279 | Other | OXFORD | |
| 0022249 | Other | GHI | |
| 4C8363 | Other | HEALTHNET | |
| 00437861 | Medicaid | NY | |
| 160798 | Other | ELDERPLAN | |
| 39846 | Other | VYTRAHEALTH | |
| 76724 | Other | US HEALTHCARE | |
| 0439789017 | Other | CIGNA | |
| 26A361 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131183 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian/Queens | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1225144694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18-15 FRANCIS LEWIS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573895",
"telephone_number": "718-746-5463",
"fax_number": "718-746-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18-15 FRANCIS LEWIS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573895",
"telephone_number": "718-746-5463",
"fax_number": "718-746-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSMARIN",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "131183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4206044",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "26003P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0022249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C8363",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00437861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "160798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRAHEALTH",
"identifier": "39846",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "76724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0439789017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26A361",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.