NPIMap

Organization Active NPI

Rosehouse Surgicare

  • Specialist
  • Elmont, NY
National Provider Identifier
1306155874
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1777953-1 Issued in NY
Legal business name
ROSEHOUSE SURGICARE
Practice address
1975 Linden Blvd Ste 107
Elmont, NY 11003-4004
Phone
(718) 433-4644
Fax
(718) 433-4644
NPI assigned
Oct 1, 2010
Organization subpart
Yes
Parent organization
OMNICARE PLUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Evans Crevecoeur
Title
Physician/Ceo
Phone
(718) 433-0044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 1777953-1 NY Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

1975 Linden Blvd Ste 107
Elmont, NY 11003-4004

Mailing address

P.O.Box 30037
Elmont, NY 11003-0037
Phone (718) 433-0044

Other names 1

  • Omnicare Plus Doing business as

National Provider Directory

National Provider Directory
Part of
Omnicare Plus PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1306155874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 30037",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110030037",
            "telephone_number": "718-433-0044",
            "fax_number": "718-400-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD STE 107",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034004",
            "telephone_number": "718-433-4644",
            "fax_number": "718-433-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEHOUSE SURGICARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNICARE PLUS",
        "enumeration_date": "2010-10-01",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "718-433-0044",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1777953-1",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.