Individual provider Active NPI

Dwindally Rosado-Rivera, M.D., ED.D., M.SC.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1497117758
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
301334 Issued in NY
Practice address
40 Worth St RM 402
New York, NY 10013-3050
Phone
(646) 962-3400
Fax
(646) 962-0130
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 301334 NY Primary

Addresses

Primary practice location

40 Worth St RM 402
New York, NY 10013-3050

Mailing address

40 Worth St RM 402
New York, NY 10013-3050

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
I20200528001788 NY Practitioner - Internal Medicine 4486993771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

425 E 61St St
New York, NY 10065-8722
Phone (212) 821-0857

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 7, 2020 Accepting new patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

40 Worth St
New York, NY 10013
Phone (646) 619-6400

425 E 61st St
New York, NY 10065
Phone (212) 752-2000

40 Worth St
Rm 402
New York, NY 10013
Phone (646) 962-3400

505 E 70th St
New York, NY 10021
Phone (212) 746-2900

Interoperability endpoints

  • Direct secure messaging: dwr9003@direct.nyp.org

Organizations & group practices 4

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 5

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1497117758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WORTH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WORTH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133050",
            "telephone_number": "646-962-3400",
            "fax_number": "646-962-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO-RIVERA",
        "first_name": "DWINDALLY",
        "credential": "M.D., ED.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.