Active NPI
Alfred Vincent De Rosa, MD
- Internal Medicine Physician
- Woodside, NY
National Provider Identifier
1477683480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 143876
- Practice address
- 4844 44TH St
Woodside, NY 11377-6937 - Phone
- (718) 784-2834
- Fax
- (718) 784-2868
- NPI assigned
- Mar 7, 2007
- Last updated
- Apr 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 143876 | NY | Primary |
Addresses
Primary practice location
4844 44TH St
Woodside, NY 11377-6937
Mailing address
4844 44 St
Woodside, NY 11377
Phone (718) 784-2834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00816028 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107000666 | NY | Practitioner - Internal Medicine | 4385662527 | Practice locations: Woodside, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
48 -44
Woodside, NY 11377-6937
4844 44TH St
Woodside, NY 11377-6937
Phone (718) 784-2834
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.64 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ad Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Big Apple Primary Medical Care PC | Internal Medicine | Past | Accepting new patients |
Locations
4844 44th St
Woodside, NY 11377
Phone (718) 404-8040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1396496402
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1215684543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1477683480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4844 44 ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377",
"telephone_number": "718-784-2834",
"fax_number": "718-784-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4844 44TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113776937",
"telephone_number": "718-784-2834",
"fax_number": "718-784-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ROSA",
"first_name": "ALFRED",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "143876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00816028",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.