Gerald Rosen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

026077 Issued in NY

Practice address

25 South Main St
Pittsford, NY 14534-1925

Phone

(585) 586-2222

Fax

(585) 381-4043

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Marci Mendola-Pitcher DDS LLC

  • Pediatric Dentistry
  • Pittsford, NY
  • NPI 1568674182
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285769646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOUTH MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341925",
            "telephone_number": "585-586-2222",
            "fax_number": "585-381-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341925",
            "telephone_number": "585-586-2222",
            "fax_number": "585-381-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "026077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00450546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Romano, FNP
• Ronald R. Reed MD PC
• Ronald R. Reed MD PC
• Ronald R. Reed MD PC
• Kimberly Rosati, OD
• Lisa M Rosica, DO
• Kim Michaelle Ross, LMT
• Ashley Grace Rosselot
• Kellen Rotach, PT
• Ann J Rouse, LMT

• Pediatric Dentistry in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Pediatric Dentistry 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.
• 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.