Individual provider Active NPI

Richard Allen Rosencrantz, M.D.

  • Pediatric Gastroenterology Physician
  • New Haven, CT
National Provider Identifier
1376583591
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
046998 Issued in CT
Practice address
20 York St
New Haven, CT 06504-8900
Phone
(203) 785-4649
Fax
(203) 737-1384
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 046998 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06504-8900

Mailing address

333 Cedar St; FMP 408
PO Box 208064
New Haven, CT 06520-8064
Phone (203) 785-4649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000233 NY Practitioner - GastroenterologyPractitioner - Pediatric Medicine 4284736471 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP Pediatric Gastroenterology CurrentSince Sep 20, 2011 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Sep 20, 2011 Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Martin Ross MD PC Past Accepting new patients

Locations

2 Old New Milford Rd
Ste 2D
Brookfield, CT 06804
Phone (203) 775-6292

148 East Ave
Ste 2N
Norwalk, CT 06851
Phone (203) 831-0000

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

503 Grasslands Rd
Valhalla, NY 10595
Phone (914) 345-0376

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: richard.rosencrantz.p1@direct.cwpw.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1376583591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST; FMP 408",
            "address_2": "PO BOX 208064",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208064",
            "telephone_number": "203-785-4649",
            "fax_number": "203-737-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065048900",
            "telephone_number": "203-785-4649",
            "fax_number": "203-737-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENCRANTZ",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CT",
            "license": "046998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.