Maritza De la Rosa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

185256 Issued in NY

Practice address

339 Hicks St
Long Island College Hospital- Dept. of Family Medicine
Brooklyn, NY 11201-5509

Phone

(718) 780-4997

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Caledonian Health Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1184657355
  NPD (past)
• Lich Faculty Practice

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1154504132
  NPD (past)
• Lich Faculty Practice

  dba LICH Faculty Practice Psychiatric Associates

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1841457967
  NPD (past)
• Lichfpp Physicians

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1184670556
  NPD (past)
• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245314392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BAKLEY TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522169",
            "telephone_number": "973-736-7179",
            "fax_number": "973-736-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "LONG ISLAND COLLEGE HOSPITAL- DEPT. OF FAMILY MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "MARITZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candy Nuriela De la Rosa
• Crystal De la Rosa
• Ivan Jeremy De la Rosa
• Jennys De la Rosa
• Mariah De la Rosa
• Reuben Chaves De la Rosa
• Roxanna De la Torre, MD
• Francisco A De Lara Sr., MD
• Nicole Stephany De Leon de la Cruz, MD
• Andres J. De Leon Medero, MD

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.