Individual provider Active NPI

Daniel F. Rosberger, M.D., PH.D

  • Specialist
  • New York, NY
National Provider Identifier
1528121035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
188024 Issued in NY
Practice address
52 E 72ND St
New York, NY 10021-4266
Phone
(212) 439-9600
Fax
(212) 439-0796
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 188024 NY Primary

Addresses

Primary practice location

52 E 72ND St
New York, NY 10021-4266

Mailing address

52 E 72ND St
New York, NY 10021-4266
Phone (212) 439-9600

Other identifiers 1

IdentifierTypeStateIssuer
01676177MedicaidNY

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
I20040709000294 NY Practitioner - Ophthalmology 3072591734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maculacare PLLCGroup PAC ID 6901881432, 3 clinicians

Practice addresses (Care Compare)

52 E 72ND St
New York, NY 10021-4266
Phone (212) 439-9600

Merit-based Incentive Payment System (MIPS)

Final score
84.53 of 100Reported as individual
Quality
80.59
Promoting interoperability
84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188024NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Aug 1, 2012 Accepting new patients
Amboy Medical Practice PC CurrentSince Aug 1, 2012 Accepting new patients
Maculacare, PLLC Specialist CurrentSince Oct 1, 1984 Accepting new patients

Locations

3860 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2222

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

78 Todt Hill Rd
Ste 111
Staten Island, NY 10314
Phone (718) 442-3232

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528121035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9600",
            "fax_number": "212-439-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9600",
            "fax_number": "212-439-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBERGER",
        "first_name": "DANIEL",
        "middle_name": "F.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "188024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01676177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.