Individual provider Active NPI

Marina Rozenberg, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275735391
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240517 Issued in NY
Practice address
384 Neptune Ave Apt 402
Brooklyn, NY 11235-8076
Phone
(646) 645-7143
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240517 NY Primary

Addresses

Primary practice location

384 Neptune Ave Apt 402
Brooklyn, NY 11235-8076

Mailing address

384 Neptune Ave Apt 402
Brooklyn, NY 11235-8076
Phone (646) 645-7143

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071029000537 NY Practitioner - Internal Medicine 4486741055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

384 Neptune Ave
Apt 402
Brooklyn, NY 11235-8076
Phone (645) 645-7143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Consultation Group Internal Medicine CurrentSince Sep 25, 2007 Accepting new patients
Marina Rozenberg MD PLLC CurrentSince Nov 27, 2024 Accepting new patients

Locations

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

1275 York Ave
#219
New York, NY 10065

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1275735391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 NEPTUNE AVE APT 402",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358076",
            "telephone_number": "646-645-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 NEPTUNE AVE APT 402",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358076",
            "telephone_number": "646-645-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBERG",
        "first_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.