Active NPI
Paul Robert Rosenstock, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1210881
- Practice address
- 6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079 - Phone
- (718) 238-2100
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1210881 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079
Mailing address
6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079
Phone (718) 238-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00318561 | Medicaid | NY | |
| 121088 | Other | NY | LICENSE NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210881 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network Services PC | Internal Medicine | Current | Accepting new patients |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
7104 Fort Hamilton Pkwy
Brooklyn, NY 11228
Phone (718) 238-2100
1651 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 382-2204
6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322
6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1871507731
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1588758171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"address_2": "SUITE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079",
"telephone_number": "718-238-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"address_2": "SUITE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079",
"telephone_number": "718-238-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTOCK",
"first_name": "PAUL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1210881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00318561",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "121088",
"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 Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.