Active NPI
Linli Yan-Rosenberg, Physician, P.C.
- Clinic/Center
- Brooklyn, NY
National Provider Identifier
1336388057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 243626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linli Yan-Rosenberg, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2020622 | Linli Yan-Rosenberg, Physician, PC | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1669683819
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1619278538
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.