Individual provider Active NPI

Jonathan Miles Rochlin, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Brooklyn, NY
National Provider Identifier
1417034273
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
241351 Issued in NY
Practice address
450 Clarkson Avenue, Box 1228
Department of Emergency Medicine, Suny Downstate
Brooklyn, NY 11203
Phone
(718) 245-4790
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 241351 NY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 060497 GA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 241351 NY Primary

Addresses

Primary practice location

450 Clarkson Avenue, Box 1228
Department of Emergency Medicine, Suny Downstate
Brooklyn, NY 11203

Mailing address

450 Clarkson Avenue, Box 1228
Department of Emergency Medicine, Suny Downstate
Brooklyn, NY 11203

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
I20110209000090 NY Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 8628258647 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060497GAMDPediatric Emergency Medicine (Pediatrics) Physician
241351NYMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suny Health Science Center at Bklyn CurrentSince Nov 1, 2014 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Oct 1, 2016 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Nov 16, 2018 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP CurrentSince Oct 1, 2016 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Nov 16, 2018 Accepting new patients
Interfaith Emergency Medicine, P.C. CurrentSince Mar 4, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

450 Clarkson Ave
#1228
Brooklyn, NY 11203
Phone (718) 245-3318

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Networks

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

Interoperability endpoints

  • Direct secure messaging: jonathanrochlin@mai.allscriptsdirect.net

Organizations & group practices 8

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1417034273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE, BOX 1228",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE, SUNY DOWNSTATE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE, BOX 1228",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE, SUNY DOWNSTATE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-245-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHLIN",
        "first_name": "JONATHAN",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "241351",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "GA",
            "license": "060497",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "241351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.