Edwin H Rosenwasser, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

133452 Issued in NY

Practice address

1325 Franklin Ave
Suite 103
Garden City, NY 11530

Phone

(516) 536-1818

Fax

(516) 536-4101

NPI assigned

Feb 12, 2007

Last updated

Jul 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Vein Care & Surgery PLLC

  • Vascular Surgery Physician
  • Garden City, NY
  • NPI 1699155655
  Authorized official Same address or phone
• MVC PA PLLC

  dba Metro Vein Centers

  • Surgery Physician
  • Trevose, PA
  • NPI 1669930798
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1225170723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-536-1818",
            "fax_number": "516-536-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-536-1818",
            "fax_number": "516-536-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENWASSER",
        "first_name": "EDWIN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "133452",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "133452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00728318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gillian Kara Rose
• Leora Rosen
• Andrew B Rosenberg, M.D.
• Gary S Rosenberg, M.D.
• Elisheva Aziza Rosenfeld, DDS
• Wendy Ann Rosete, LCSW
• Roshan Kothandaram Physician P.C
• Frances Gabhriel Ross, MD
• Liana Ross, MHC-LP
• Samuel Warren Ross

• Surgery Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.

Verify at the official NPI Registry.