Individual provider Active NPI

Nathan Samuel Rosenfeld, M.D.

  • Gastroenterology Physician
  • New Rochelle, NY
National Provider Identifier
1467535120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
143751 Issued in NY
Practice address
110 Lockwood Ave
New Rochelle, NY 10801-5028
Phone
(914) 636-4030
Fax
(914) 636-4095
NPI assigned
Oct 23, 2006
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
Gastroenterology Physician 207RG0100X 143751 NY Primary

Addresses

Primary practice location

110 Lockwood Ave
New Rochelle, NY 10801-5028

Mailing address

110 Lockwood Ave
New Rochelle, NY 10801-5028
Phone (914) 636-4030

Other identifiers 1

IdentifierTypeStateIssuer
01389028MedicaidNY

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
I20110331000072 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7416130315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Memorial Hwy
New Rochelle, NY 10801-5635
Phone (914) 636-4030

Hospital & facility affiliations

  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184
  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy249
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143751NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Rosenfeld M.D. PC Gastroenterology CurrentSince Oct 17, 2010 Accepting new patients
Sound Shore Physician Services Past Accepting new patients

Locations

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

110 Lockwood Ave
New Rochelle, NY 10801
Phone (914) 235-8911

16 Guion Pl
Rm 107
New Rochelle, NY 10801
Phone (914) 365-3160

175 Memorial Hwy
Ste LL12
New Rochelle, NY 10801
Phone (914) 636-4030

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Networks

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

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467535120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015028",
            "telephone_number": "914-636-4030",
            "fax_number": "914-636-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015028",
            "telephone_number": "914-636-4030",
            "fax_number": "914-636-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "NATHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "143751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01389028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.