Jeffrey Paul Rose, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV003202-1 Issued in NY

Practice address

20929 28TH Ave
Bayside, NY 11360-2410

Phone

(718) 279-3713

Fax

(718) 279-4230

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396775912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20929 28TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602410",
            "telephone_number": "718-279-3713",
            "fax_number": "718-279-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20929 28TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602410",
            "telephone_number": "718-279-3713",
            "fax_number": "718-279-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV003202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Rosa
• Crystal Alicia Rosado
• Carmen Rosario, MSW
• George Luis Rosario Jr.
• Jennifer Rosario
• Steven Alan Rosen, D.D.S.
• Peter Marc Rosenberg, MD
• Lori Rosenblum, D.O.
• Stephen J Rosenbluth, D.C.
• Lynn Rothschild, LCSW

• Corneal and Contact Management Optometrist in Bayside, NY
• Providers in Bayside, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.