Individual provider Active NPI

Louis M Rosner, MD

  • Otolaryngology Physician
  • Rockville Centre, NY
National Provider Identifier
1295716371
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1386041 Issued in NY
Practice address
176 N Village Ave
Ste 1a
Rockville Centre, NY 11570-3800
Phone
(516) 678-0303
Fax
(516) 678-0445
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1386041 NY Primary

Addresses

Primary practice location

176 N Village Ave
Ste 1a
Rockville Centre, NY 11570-3800

Mailing address

176 N Village Ave
Ste 1a
Rockville Centre, NY 11570-3800
Phone (516) 678-0303

Other identifiers 17

IdentifierTypeStateIssuer
LR074A4110OtherNYBCBS 5040
LR074A4110OtherNYBCBS 5012
LR074A4110OtherNYBCBS 5011
LR074A4110OtherNYBCBS 5036
581919OtherUNITE 1600 UNITED HEALTHC
0176650001OtherDMERC HEALTH NOW
581919OtherUHC UNITED HEALTHCARE
LR074A4110OtherNYBCBS 3877
40003746OtherMDCR RRRB RAILROAD
581919OtherUNIT740800 UNITED HEALTHC
581919OtherUNITE 30555 UNITED HEALTH
74A411OtherMDCR SECONDARY
LR074A4110OtherNYBCBS 5077
LR074A4110OtherNYBCBS 1407
LR074A4110OtherNYBCBS 3876
LR074A4110OtherNYBCBS 5047
LR074A4110OtherNYBCBS 5059

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
I20070326000542 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8921102229 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1386041NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southshore Otolaryngology, PC Otolaryngology CurrentSince Aug 6, 1990 Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

176 N Village Ave
Ste 1A
Rockville Ctr, NY 11570
Phone (516) 678-0303

Organizations & group practices 1

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1295716371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "STE 1A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-678-0303",
            "fax_number": "516-678-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "STE 1A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-678-0303",
            "fax_number": "516-678-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "LOUIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "1386041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5040",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5012",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5011",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5036",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITE 1600 UNITED HEALTHC",
            "identifier": "581919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC HEALTH NOW",
            "identifier": "0176650001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC UNITED HEALTHCARE",
            "identifier": "581919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 3877",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR RRRB RAILROAD",
            "identifier": "40003746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIT740800 UNITED HEALTHC",
            "identifier": "581919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITE 30555 UNITED HEALTH",
            "identifier": "581919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR SECONDARY",
            "identifier": "74A411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5077",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 1407",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 3876",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5047",
            "identifier": "LR074A4110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 5059",
            "identifier": "LR074A4110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.