Individual provider Active NPI

Paul Robert Rosenstock, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1588758171
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1210881 Issued in NY
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

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00318561MedicaidNY
121088OtherNYLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001548 NY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Critical Care (Intensivists) 2062306939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1210881NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network Services PC Internal Medicine CurrentSince Feb 11, 2004 Accepting new patients
Parcare Community Health Network Inc CurrentSince Mar 24, 2014 Accepting new patients
Parcare Community Health Network Inc CurrentSince Mar 24, 2014 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.

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

Verify at the official NPI Registry.