Sidra Sutton Rosen, MSED

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2069 West St
Brooklyn, NY 11223-3930

Phone

(718) 372-0156

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1497180293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 WEST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233930",
            "telephone_number": "718-372-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 WEST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233930",
            "telephone_number": "718-372-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "SIDRA",
        "middle_name": "SUTTON",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Devorah Rosen
• Richard Gary Rosen
• Sara Rosen
• Shira Rosen, OTR/L
• Shiye Rosen
• Yitzchak Rosen, MSSW
• Dale R Rosenbach, DMD, MS
• Brocha Rosenbaum
• Chiara Jordan Rosenbaum, DO
• Daniel Rosenbaum, M.D.

• Developmental Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Developmental Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.