Individual provider Active NPI

Kenneth J Rosenthal, MD

  • Ophthalmology Physician
  • Great Neck, NY
National Provider Identifier
1295750230
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138603 Issued in NY
Practice address
310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432
Phone
(516) 466-8989
Fax
(516) 466-8962
NPI assigned
Jul 12, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138603 NY Primary

Addresses

Primary practice location

310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432
Phone (516) 466-8989

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
I20090313000510 NY Practitioner - Ophthalmology 3779640974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth J Rosenthal MD PCGroup PAC ID 2365600582, 2 clinicians

Practice addresses (Care Compare)

310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432
Phone (516) 466-8989

Merit-based Incentive Payment System (MIPS)

Final score
58.22 of 100Reported as group
Quality
37.32
Improvement activities
40
Cost
44.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J Rosenthal MD PC CurrentSince Sep 10, 1985 Accepting new patients
Fifth Avenue Optics, Inc. Past Accepting new patients

Locations

310 E Shore Rd
Ste 102
Great Neck, NY 11023
Phone (516) 466-8989

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: krosenthal68978@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1295750230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-8989",
            "fax_number": "516-466-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-8989",
            "fax_number": "516-466-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.