Active NPI
Roslyn Chosak, M.D.
- Gynecology Physician
- New Haven, CT
National Provider Identifier
1528023181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 022991
- Practice address
- 2 Church St S
Suite 501
New Haven, CT 06519-1717 - Phone
- (203) 562-5439
- Fax
- (203) 624-5157
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 022991 | CT | Primary |
Addresses
Primary practice location
2 Church St S
Suite 501
New Haven, CT 06519-1717
Mailing address
2 Church St South
Suite 501
New Haven, CT 06519-1717
Phone (203) 562-5439
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051396 | Other | CT | AETNA |
| 010022991CT02 | Other | CT | ANTHEM |
| 764-353 | Other | CT | CONNECTICARE |
| 061364353 | Other | CT | UNITED HEALTHCARE |
| NHP086 | Other | CT | OXFORD |
| 06-1364353 | Other | CT | FED TAX ID |
| OQ2292 | Other | CT | HEALTHNET |
| PR02145640001 | Other | CT | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Warren Alpert Medical School of Brown University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Church S St
Suite 501
New Haven, CT 06519-1717
Phone (203) 562-5439
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022991 | CT | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roslyn Chosak M.D.,L.L.C. | Current | Accepting new patients |
Locations
2 Church St S
Ste 501
New Haven, CT 06519
Phone (203) 562-5439
Organizations & group practices 1
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.
-
- Specialist
- New Haven, CT
- NPI 1205137783
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1528023181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHURCH ST SOUTH",
"address_2": "SUITE 501",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "203-562-5439",
"fax_number": "203-624-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST S",
"address_2": "SUITE 501",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "203-562-5439",
"fax_number": "203-624-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOSAK",
"first_name": "ROSLYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "022991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1051396",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010022991CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "764-353",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061364353",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NHP086",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID",
"identifier": "06-1364353",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OQ2292",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PR02145640001",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.