Individual provider Active NPI

Dwight J Rosenstein, M.D.

  • Neurology Physician
  • Lake Success, NY
National Provider Identifier
1326025909
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
142989 Issued in NY
Practice address
1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Phone
(516) 466-4700
Fax
(516) 466-4810
NPI assigned
Dec 27, 2005
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 142989 NY
Neurology Physician 2084N0400X 142989 NY Primary

Addresses

Primary practice location

1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057

Mailing address

1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Phone (516) 466-4700

Other identifiers 17

IdentifierTypeStateIssuer
112434927OtherNYTPA/BENESIGHT
OC2813OtherNYPHS/ACS
1057742OtherNYEMPIRE PLAN/UNITED HEALTH
112434927OtherNYBEECH STREET CORPORATION
112434927OtherNYMULTIPLAN
112434927OtherNYPHCS
112434927OtherNYHORIZON HEALTHCARE
AS1291OtherNYOXFORD HEALTH PLAN
112434927OtherNYONE HEALTH PLAN
1400148OtherNYAETNA MC/PPO/EPO
887955OtherNYAETNA HMO
112434927OtherNYANTHEM HEALTH NETWORK
112434927OtherNYMDNY
112434927OtherNYSELECT PRO
98A341OtherNYEMPIRE HEALTHCHOICE
0306775002OtherNYCIGNA HEALTHCARE
112434927OtherNYFIRST HEALTH

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
I20101108000525 NY Practitioner - Neurology 2961546726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Columbia University College of Physicians and Surgeons, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Associates of Long Island, PCGroup PAC ID 9234028788, 14 clinicians

Practice addresses (Care Compare)

1991 Marcus Ave
Suite 110
New Hyde Park, NY 11042-2062
Phone 5164664700110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as group
Quality
72.69
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142989NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates of Long Island, PC Specialist CurrentSince Mar 13, 1987 Accepting new patients

Locations

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

1991 Marcus Ave
Ste 110
New Hyde Park, NY 11042
Phone (516) 365-8086

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1326025909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTEIN",
        "first_name": "DWIGHT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "142989",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "142989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA/BENESIGHT",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS/ACS",
            "identifier": "OC2813",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN/UNITED HEALTH",
            "identifier": "1057742",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET CORPORATION",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "AS1291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC/PPO/EPO",
            "identifier": "1400148",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "887955",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH NETWORK",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT PRO",
            "identifier": "112434927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCHOICE",
            "identifier": "98A341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0306775002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "112434927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.