Individual provider Active NPI

Nelson Garrett Rosen, M.D.

  • Pediatric Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1346229028
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
35.134438 Issued in OH
Practice address
3333 Burnet Ave # Mlc20203
Cincinnati, OH 45229-3026
Phone
(513) 636-4371
Fax
(513) 636-7657
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 205885 NY
Pediatric Surgery Physician 2086S0120X 205885 NY
Pediatric Surgery Physician 2086S0120X 35.134438 OH Primary

Addresses

Primary practice location

3333 Burnet Ave # Mlc20203
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave # Mlc20203
Cincinnati, OH 45229-3026
Phone (513) 636-4371

Other practice location 1

26901 76th Ave
Schneider Children's Hospital Rm. 158
New Hyde Park, NY 11040-1433
Phone (718) 470-5128

Other practice location 2

26901 76th Ave
Schneider Children's Hospital Rm. 158
New Hyde Park, NY 11040-1433
Phone (718) 470-5128

Other identifiers 1

IdentifierTypeStateIssuer
02495921MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20040320000531 NY Practitioner - Pediatric MedicinePractitioner - General Surgery 1254222326 Reassigns benefits to 4 organizations
I20181029002317 OH Practitioner - Pediatric Medicine 1254222326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Hospital Medical CenterGroup PAC ID 8426955733, 716 clinicians

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205885NYMDPediatric Surgery Physician
35.134438OHMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Jan 1, 2014 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Jamaica Hospital CurrentSince Dec 6, 2012 Accepting new patients
Jamaica Hospital CurrentSince Dec 6, 2012 Accepting new patients
Children'S Hospital Medical Center CurrentSince Aug 21, 2018 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince Nov 10, 2010 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Nov 10, 2010 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jan 1, 2014 Accepting new patients
Children'S Hospital Medical Center Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

2765 Chapel Pl
Crestview Hills, KY 41017
Phone (859) 344-1900

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

26901 76th Ave
Rm 158
New Hyde Park, NY 11040
Phone (718) 470-5128

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

972 Brush Hollow Rd
Westbury, NY 11590

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
Ste ML2023
Cincinnati, OH 45229

3333 Burnet Ave
#20203
Cincinnati, OH 45229
Phone (513) 636-4371

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1346229028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC20203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4371",
            "fax_number": "513-636-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC20203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4371",
            "fax_number": "513-636-7657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26901 76th Ave",
            "address_2": "Schneider Children's Hospital Rm. 158",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401433",
            "country_code": "US",
            "telephone_number": "718-470-5128",
            "fax_number": "718-347-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26901 76th Ave",
            "address_2": "Schneider Children's Hospital Rm. 158",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401433",
            "country_code": "US",
            "telephone_number": "718-470-5128",
            "fax_number": "718-347-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "NELSON",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "205885",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "205885",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35.134438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.