Gary S Rosenbaum MD PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

1735421 Issued in NY

Legal business name

GARY S ROSENBAUM MD PC

Practice address

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115

Phone

(631) 727-6122

Fax

(631) 727-2672

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Miss Sharyn Donnelly

Title

Office Administrator

Phone

(631) 727-6122

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Gary S Rosenbaum, MD

  • Infectious Disease Physician
  • Riverhead, NY
  • NPI 1437261385
  Medicare reassignment NPD

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1346559192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S ROSENBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "SHARYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-727-6122",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "1735421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011924229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Gallo, LCSW, ACHP-SW, GC-C
• Sandeep A Gandhi, MD
• Brittany Garcia, LMSW
• Elizabeth Catherine Garcia, AGNP
• Mildred Garcia, MD
• Noe Esteban Garza, DPM
• Maureen Gatto, DSW, LCSW
• Karen Gatz, RN
• Kristin C Gelzinis, MSW
• Genesis Therapy Group LLC

• Infectious Disease Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.