Amy E Rose, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

247173 Issued in NY

Practice address

31 Northern Blvd
Greenvale, NY 11548-1320

Phone

(516) 484-9000

Fax

(516) 484-7549

NPI assigned

Aug 6, 2007

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

Stanford University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cosmetique Dermatology Laser and Plastic Surgery LLPGroup PAC ID 6002994530, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cosmetique Dermatology, Laser & Plastic Surgery, LLP

  • MOHS-Micrographic Surgery Physician
  • Greenvale, NY
  • NPI 1710987227
  Medicare reassignment Care Compare group
• Sutton Place Dermatology, P.C.

  • Dermatopathology Physician
  • New York, NY
  • NPI 1730213943
  Medicare reassignment NPD
• Amy Rose MD, PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1447917695
  Authorized official Same address or phone
• Dermatology Specialists LLC

  • Dermatology Physician
  • Hillsborough, NJ
  • NPI 1720498439
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1275724056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 74TH ST APT 5RS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213919",
            "telephone_number": "917-414-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481320",
            "telephone_number": "516-484-9000",
            "fax_number": "516-484-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "247173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew@cosmetiquemd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31 Northern Blvd",
            "city": "Greenvale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115481320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Radova, MD
• Deepshikha Rana
• Kiran V Reddy, M.D.
• Ailia Rizvi, DO
• Robert C. Lin, MD PC
• Roslyn Ufsd
• Trisha G Rousseau, PSY.D.
• Lael Roye, ATC
• Louis Rubino
• Alexandria Christina Ruddy, NP

• Dermatology Physician in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.