Individual provider Active NPI

Gary S Rosenbaum, MD

  • Infectious Disease Physician
  • Riverhead, NY
National Provider Identifier
1437261385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
173542 Issued in NY
Practice address
887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone
(631) 727-6122
Fax
(631) 727-2672
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 173542 NY Primary

Addresses

Primary practice location

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115

Mailing address

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone (631) 727-6122

Other identifiers 1

IdentifierTypeStateIssuer
01192429MedicaidNY

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
I20110322000476 NY Practitioner - Infectious Disease 9537342084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone (631) 727-6122

887 Old Country Rd a
Riverhead, NY 11901-2115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as individual
Quality
69.99
Improvement activities
40
Cost
87.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173542NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary S Rosenbaum MD PC Infectious Disease CurrentSince Aug 21, 1997 Accepting new patients

Locations

887 Old Country Rd
Ste A
Riverhead, NY 11901
Phone (631) 369-7660

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437261385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "173542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.