Louis Alfred Rose, DO

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C13828 Issued in NY

Practice address

3146 E Tremont Ave
Bronx, NY 10461-5706

Phone

(718) 409-6280

Fax

(718) 409-4110

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1497869663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615706",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615706",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3058 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615726",
            "country_code": "US",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LOUIS",
        "middle_name": "ALFRED",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "C13828",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "C13828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debranaye Rose
• Elizabeth Rose, N.P.
• Fabiola Beatriz Rose, LMSW
• Lancelot Peter Rose
• Linda R. Rose, RN
• Louis Charles Rose, M.D.
• Monica L Rose, LPN
• Nasiche Rose, MD
• Natasha Rose
• Yocheved Rose

• Durable Medical Equipment & Medical Supplies in Bronx, NY
• Providers in Bronx, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.