Organization Active NPI

Cameron K. Rokhsar, M.D. PC

  • MOHS-Micrographic Surgery Physician
  • Garden City, NY
National Provider Identifier
1447471560
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
214852 Issued in NY
Legal business name
CAMERON K. ROKHSAR, M.D. PC
Practice address
901 Stewart Ave
Garden City, NY 11530-4893
Phone
(516) 512-7616
Fax
(516) 512-7617
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Ms. Ginny Criscuoli
Title
Billing
Phone
(516) 512-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 214852 NY Primary

Addresses

Primary practice location

901 Stewart Ave
Garden City, NY 11530-4893

Mailing address

901 Stewart Ave
Suite 240
Garden City, NY 11530-4893
Phone (516) 512-7616

Other practice location 1

121 E 60th St Ste 8Ab
New York, NY 10022-1117
Phone (212) 285-1110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000252 NY Part B Supplier - Clinic/Group Practice 9032216221 Receives reassigned benefits from 2 practitioners
Practice locations: Garden City, NY; New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Cameron K Rokhsar MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 E 60th St
Ste 8AB
New York, NY 10022
Phone (212) 285-1110

328 E 75th St
Apt A
New York, NY 10021
Phone (212) 285-1110

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1447471560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 240",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-512-7616",
            "fax_number": "516-512-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-512-7616",
            "fax_number": "516-512-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E 60th St Ste 8Ab",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221117",
            "country_code": "US",
            "telephone_number": "212-285-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMERON K. ROKHSAR, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "CRISCUOLI",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "516-512-7616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "214852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.