Active NPI
Roselyne Chery, MD
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1356400998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 216698
- Practice address
- 121 Dekalb Avenue
The Brooklyn Hospital Path Center
Brooklyn, NY 11201 - Phone
- (718) 250-6559
- Fax
- (718) 250-6567
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 216698 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Avenue
The Brooklyn Hospital Path Center
Brooklyn, NY 11201
Mailing address
121 Dekalb Avenue
The Brooklyn Hospital Center Path Center
Brooklyn, NY 11201
Phone (718) 250-6559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02310552 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBHC Medical Services PC | Family Medicine | Past | Accepting new patients |
| All City Family Healthcare Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1215939186
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508959743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1356400998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVENUE",
"address_2": "THE BROOKLYN HOSPITAL CENTER PATH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-6559",
"fax_number": "718-250-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVENUE",
"address_2": "THE BROOKLYN HOSPITAL PATH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-6559",
"fax_number": "718-250-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERY",
"first_name": "ROSELYNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "216698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02310552",
"state": "NY"
}
],
"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 Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.