Active NPI
Haley Isabel Rosenberg, DDS
- Pediatric Dentistry
- North Babylon, NY
National Provider Identifier
1477176337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 061904
- Practice address
- 1476 Deer Park Ave # 1200
North Babylon, NY 11703-1200 - Phone
- (631) 254-5437
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 061904 | NY | Primary |
Addresses
Primary practice location
1476 Deer Park Ave # 1200
North Babylon, NY 11703-1200
Mailing address
10813 65TH Rd
Forest Hills, NY 11375-1842
Phone (718) 683-2826
Other practice location 1
15 Verbena Ave
Floral Park, NY 11001-2793
Phone (516) 784-4100
Other practice location 2
1201 Northern Blvd Ste 102
Manhasset, NY 11030-3001
Phone (516) 365-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061904 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiddsmiles PLLC | Past | Accepting new patients | |
| Kiddsmiles II PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Manhasset, NY
- NPI 1962892901
-
- Dental Clinic/Center
- Manhasset, NY
- NPI 1073729794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1477176337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10813 65TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751842",
"telephone_number": "718-683-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 DEER PARK AVE # 1200",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031200",
"telephone_number": "631-254-5437"
}
],
"practiceLocations": [
{
"address_1": "15 Verbena Ave",
"address_purpose": "LOCATION",
"city": "Floral Park",
"state": "NY",
"postal_code": "110012793",
"country_code": "US",
"telephone_number": "516-784-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Northern Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303001",
"country_code": "US",
"telephone_number": "516-365-5439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENBERG",
"first_name": "HALEY",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "061904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.