Mendelson MD PC & Rosenthal MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MENDELSON MD PC & ROSENTHAL MD PC

Practice address

5360 Nesconset Hwy
PT. Jeff. Sta, NY 11776

Phone

(631) 331-2121

Fax

(631) 331-3694

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth G. Rosenthal, M.D.NPI 1679686471

Title

Partner

Phone

(631) 331-2121

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kenneth G Rosenthal, MD

  • Internal Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1679686471
  NPD (past) Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1366774226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY",
            "city": "PT JEFF STA",
            "state": "NY",
            "postal_code": "117762018",
            "telephone_number": "631-331-2121",
            "fax_number": "631-331-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY",
            "city": "PT. JEFF. STA",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-331-2121",
            "fax_number": "631-331-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDELSON MD PC & ROSENTHAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-331-2121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.