Organization Active NPI

Sidney Rosen M.D. P.C.

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1457562589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
072594 Issued in NY
Legal business name
SIDNEY ROSEN M.D. P.C.
Practice address
122 E 82ND St
1-B
New York, NY 10028-0822
Phone
(212) 517-9272
Fax
(212) 722-7594
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sidney Rosen, M.D .
Title
President
Phone
(212) 517-9272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 072594 NY Primary

Addresses

Primary practice location

122 E 82ND St
1-B
New York, NY 10028-0822

Mailing address

122 E 82ND St
1-B
New York, NY 10028-0822
Phone (212) 517-9272

National Provider Directory

National Provider Directory

Locations

122 E 82nd St
Ste 1B
New York, NY 10028
Phone (212) 517-9272

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457562589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 82ND ST",
            "address_2": "1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280822",
            "telephone_number": "212-517-9272",
            "fax_number": "212-722-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 82ND ST",
            "address_2": "1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280822",
            "telephone_number": "212-517-9272",
            "fax_number": "212-722-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY ROSEN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-517-9272",
        "authorized_official_credential": "M.D ."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "072594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.