Organization Active NPI

Linli Yan-Rosenberg, Physician, P.C.

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1336388057
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
243626 Issued in NY
Legal business name
LINLI YAN-ROSENBERG, PHYSICIAN, P.C.
Practice address
825 57TH St
Suite 102
Brooklyn, NY 11220-3648
Phone
(718) 676-1550
Fax
(718) 676-1553
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Linli Yan-Rosenberg, M.D.NPI 1669683819
Title
Presitent/Director
Phone
(917) 573-8506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 243626 NY Primary

Addresses

Primary practice location

825 57TH St
Suite 102
Brooklyn, NY 11220-3648

Mailing address

825 57TH St
Suite 102
Brooklyn, NY 11220-3648
Phone (718) 676-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000284 NY Part B Supplier - Clinic/Group Practice 7214087584 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2020622Linli Yan-Rosenberg, Physician, PC825 57TH Street, Suite 102, Brooklyn, NY 11220Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1336388057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 57TH ST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203648",
            "telephone_number": "718-676-1550",
            "fax_number": "718-676-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 57TH ST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203648",
            "telephone_number": "718-676-1550",
            "fax_number": "718-676-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINLI YAN-ROSENBERG, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "YAN-ROSENBERG",
        "authorized_official_first_name": "LINLI",
        "authorized_official_title_or_position": "PRESITENT/DIRECTOR",
        "authorized_official_telephone_number": "19175738506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "243626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.