Active NPI
Evelyn Rosen, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1548220601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 176136
- Practice address
- 506 6 Street
Brooklyn, NY 11215 - Phone
- (718) 780-3139
- Fax
- (718) 780-3774
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 176136 | NY | Primary |
Addresses
Primary practice location
506 6 Street
Brooklyn, NY 11215
Mailing address
PO Box 7490
Shrewsbury, NJ 07702
Phone (718) 780-3139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01362514 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1548220601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7490",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "718-780-3139",
"fax_number": "718-780-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-3139",
"fax_number": "718-780-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "EVELYN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "176136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01362514",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.