Paul Benjamin Rolen, M.D

Primary specialty

Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X

License

186121 Issued in NY

Practice address

2166 Broadway Apt 21a
New York, NY 10024-6673

Phone

(212) 396-2260

Fax

(954) 698-6963

NPI assigned

Jul 2, 2006

Last updated

Aug 31, 2016By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Diagnostic Imaging PAGroup PAC ID 0244132124, 13 clinicians

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853

  NY

  Medicare reassignment Care Compare group NPD
• Specialists in Diagnostic Imaging PA

  • Diagnostic Radiology Physician
  • Deerfield Beach, FL
  • NPI 1558347724

  NY

  Medicare reassignment Care Compare group NPD
• True North Medical Group PC

  dba Orlin & Cohen Medical Specialists Group

  • Orthopaedic Surgery Physician
  • Merrick, NY
  • NPI 1659883486
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392

  Diagnostic Neuroimaging

  Medicare reassignment NPD
• Partners Imaging Center of Sarasota LLC

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1548205271
  Medicare reassignment NPD
• Rose Radiology Centers, LLC

  dba Akumin

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• True North Medical Group PC

  dba Orlin and Cohen Medical Specialist Group

  • Oxygen Equipment & Supplies (DME)
  • Tarrytown, NY
  • NPI 1669272886
  NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD
• Clarus Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Bloomington, IN
  • NPI 1427839521
  NPD
• Coastline Imaging LLC

  dba Encore Imaging

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1770576167
  NPD
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD
• Gateway Diagnostic Imaging LLC

  • Radiology Clinic/Center
  • Sherman, TX
  • NPI 1053462655
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1306875067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 BROADWAY APT 21A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246673",
            "telephone_number": "212-396-2260",
            "fax_number": "954-698-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 BROADWAY APT 21A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246673",
            "telephone_number": "212-396-2260",
            "fax_number": "954-698-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLEN",
        "first_name": "PAUL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "186121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01818079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00449080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessika Roldan, LMSW
• Jocelyn Roldan
• Julie Anne Roldan
• Sally Roldan
• Juan Roldon
• Danielle Rolewski
• Samuel James Rolfe Delgado
• Stephanie Alexia Rolin
• Annie Hong Roliz, M.D.
• Electra Elizabeth Roll

• Diagnostic Neuroimaging (Radiology) Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Neuroimaging (Radiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.

Verify at the official NPI Registry.