Active NPI
Louis Charles Rose, M.D.
- Orthopaedic Surgery Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 153790
- Practice address
- 3058 E Tremont Ave
Bronx, NY 10461-5726 - Phone
- (718) 409-0500
- Fax
- (718) 409-0306
- NPI assigned
- Aug 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 153790 | NY | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 153790 | NY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 153790 | NY |
Addresses
Primary practice location
3058 E Tremont Ave
Bronx, NY 10461-5726
Mailing address
530 E 76TH St Apt 27G
New York, NY 10021-3173
Phone (212) 772-8706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01088820 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050722000769 | NY | Practitioner - Orthopedic Surgery | 0547297319 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3058 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 409-0500
Hospital & facility affiliations
- St Joseph'S Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153790 | NY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Throgs Neck Multi Care, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Westchester Orthopaedic, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| MK Healthcare Medical PC | Current | Accepting new patients |
Locations
3058 E Tremont Ave
Bronx, NY 10461
Phone (718) 409-0500
5629 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 418-0300
Organizations & group practices 3
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.
-
- Nuclear Medicine Technology Radiologic Technologist
- Bronx, NY
- NPI 1649493602
NY, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- White Plains, NY
- NPI 1093699894
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1932419306
Hospital
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1578873949
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1285748541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 76TH ST APT 27G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213173",
"telephone_number": "212-772-8706",
"fax_number": "718-409-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3058 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615726",
"telephone_number": "718-409-0500",
"fax_number": "718-409-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "LOUIS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "153790",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "153790",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "153790",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01088820",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.