Individual provider Active NPI

Craig H Rosenberg, MD

  • Physical Medicine & Rehabilitation Physician
  • Glen Cove, NY
National Provider Identifier
1578596391
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
153525 Issued in NY
Practice address
70 Glen St
Ste 101
Glen Cove, NY 11542-2853
Phone
(516) 630-3525
Fax
(888) 279-5444
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 153525 NY Primary

Addresses

Primary practice location

70 Glen St
Ste 101
Glen Cove, NY 11542-2853

Mailing address

17 Southland Dr
Glen Cove, NY 11542-1026
Phone (516) 630-3525

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
I20040412001064 NY Practitioner - Physical Medicine and Rehabilitation 2860390101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Medicine Associates, P.C. Specialist CurrentSince May 21, 1991 Accepting new patients
Green Napkin Chefs LLC CurrentSince Apr 5, 2020 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

70 Glen St
Ste 101
Glen Cove, NY 11542
Phone (516) 630-3525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1578596391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SOUTHLAND DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421026",
            "telephone_number": "516-630-3525",
            "fax_number": "888-279-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST",
            "address_2": "STE 101",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422853",
            "telephone_number": "516-630-3525",
            "fax_number": "888-279-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "CRAIG",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "153525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.