NPIMap

Individual provider Active NPI

Rose-Marie Carrera, M.D., FACC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1568413045
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
215539 Issued in NY
Practice address
1833 E 13TH St
Suite 1B
Brooklyn, NY 11229-2882
Phone
(718) 336-4806
Fax
(718) 336-4308
NPI assigned
May 12, 2006
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 215539 NY Primary

Addresses

Primary practice location

1833 E 13TH St
Suite 1B
Brooklyn, NY 11229-2882

Mailing address

1833 E 13TH St
Suite 1B
Brooklyn, NY 11229-2882
Phone (718) 336-4806

Other identifiers 1

IdentifierTypeStateIssuer
02744503MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000049 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143208108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwood Medical P.C.Group PAC ID 3274424593, 4 clinicians

Practice addresses (Care Compare)

1833 E 13TH St
Suite 1B
Brooklyn, NY 11229-2883
Phone (718) 336-4806

2222 Coney Island Ave
Brooklyn, NY 11223-3338
Phone (718) 336-6667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwood Medical P.C. CurrentSince Nov 4, 2010 Accepting new patients
Heart Medical, PLLC Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Michael Poon, MD, PLLC Cardiovascular Disease PastSince Sep 1, 2005 Accepting new patients

Locations

1833 E 13th St
Ste 1B
Brooklyn, NY 11229
Phone (646) 637-6918

2222 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 336-6667

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1568413045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292882",
            "telephone_number": "718-336-4806",
            "fax_number": "718-336-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292882",
            "telephone_number": "718-336-4806",
            "fax_number": "718-336-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "ROSE-MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., FACC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02744503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.