Individual provider Active NPI

David Rosenberg, MD

  • Pediatrics Physician
  • Cedarhurst, NY
National Provider Identifier
1336134691
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
228698 Issued in NY
Practice address
320 Peninsula Blvd
Cedarhurst, NY 11516-1129
Phone
(516) 569-2323
Fax
(516) 569-4131
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 228698 NY Primary

Addresses

Primary practice location

320 Peninsula Blvd
Cedarhurst, NY 11516-1129

Mailing address

320 Peninsula Blvd
Cedarhurst, NY 11516-1129
Phone (516) 569-2323

Other identifiers 1

IdentifierTypeStateIssuer
02495563MedicaidNY

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
I20241002001009 NY Practitioner - Pediatric Medicine 8426021429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

12 Tibbits Ave
White Plains, NY 10606-2438
Phone (914) 287-7200

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716
Phone (607) 544-2600

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 519-4125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228698NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vipediatrics, PC Pediatrics Current Accepting new patients
Patient First Medical Practice PC CurrentSince Sep 1, 2024 Accepting new patients
Medical Director Services PC CurrentSince Dec 8, 2024 Accepting new patients
Island Emergency Medical Services, P.C. Past Accepting new patients

Locations

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

831 Bedford Ave
Brooklyn, NY 11205

320 Peninsula Blvd
Cedarhurst, NY 11516
Phone (516) 569-2323

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

Organizations & group practices 4

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1336134691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PENINSULA BLVD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161129",
            "telephone_number": "516-569-2323",
            "fax_number": "516-569-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PENINSULA BLVD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161129",
            "telephone_number": "516-569-2323",
            "fax_number": "516-569-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "228698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.