Individual provider Active NPI

Gary Alan Rosenfeld, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Somers, NY
National Provider Identifier
1528169166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
044011 Issued in NY
Practice address
374 Route 116
Colonial Court Building
Somers, NY 10589-2628
Phone
(914) 277-8777
Fax
(914) 277-8666
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 044011 NY Primary

Addresses

Primary practice location

374 Route 116
Colonial Court Building
Somers, NY 10589-2628

Mailing address

8 Faith LN
Danbury, CT 06810-7122
Phone (203) 730-0506

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
I20150609000369 NY Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 1254652779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528169166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FAITH LN",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107122",
            "telephone_number": "203-730-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 ROUTE 116",
            "address_2": "COLONIAL COURT BUILDING",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892628",
            "telephone_number": "914-277-8777",
            "fax_number": "914-277-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

Verify at the official NPI Registry.