Organization Active NPI

Robert Rosenzweig M D P C

  • Gastroenterology Physician
  • Rhinebeck, NY
National Provider Identifier
1528249240
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
172383 Issued in NY
Legal business name
ROBERT ROSENZWEIG M D P C
Practice address
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone
(845) 876-4432
Fax
(845) 876-9086
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Robert Alan Rosenzweig, MDNPI 1073508818
Title
President/Physician
Phone
(845) 483-1230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 172383 NY Primary

Addresses

Primary practice location

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Mailing address

6565 Spring Brook Ave Ste 8
Rhinebeck, NY 12572-3726
Phone (845) 876-3003

Other identifiers 1

IdentifierTypeStateIssuer
01246762MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090917000023 NY Part B Supplier - Clinic/Group Practice 1850280405 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, NY; Poughkeepsie, NY; Rhinebeck, NY

National Provider Directory

National Provider Directory

Locations

9 Livingston St
Ste 2N
Poughkeepsie, NY 12601
Phone (845) 483-1230

6565 Spring Brook Ave
Ste 8
Rhinebeck, NY 12572
Phone (631) 431-7468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1528249240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 SPRING BROOK AVE STE 8",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723726",
            "telephone_number": "845-876-3003",
            "fax_number": "845-483-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-4432",
            "fax_number": "845-876-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ROSENZWEIG M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "ROSENZWEIG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "845-483-1230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "172383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.