Jeffrey M. Rosen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NY 003430-0 Issued in NY

Practice address

224 Sunrise Mall
Massapequa, NY 11758-4340

Phone

(516) 795-3030

Fax

(516) 795-2418

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• R & R Optical Vision LLC

  • Optician
  • Massapequa Park, NY
  • NPI 1528657350
  NPD (past)
• We'LL See Enterprises, Inc.

  • Optometrist
  • Massapequa, NY
  • NPI 1588794887
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1598895898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584340",
            "telephone_number": "516-795-3030",
            "fax_number": "516-795-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584340",
            "telephone_number": "516-795-3030",
            "fax_number": "516-795-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY 003430-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "11-3270311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Rommel
• Rose Wellness of Ny
• Catherine Rose, LCSW
• Sharone A Rose
• Christina M Rosen
• Judith Barbara Rosenblum, PH.D.
• Justin Rosicki
• Jennifer A Rossetti, PA
• Cassandra Lauren Rostad
• Selma Rothstein, LCSW

• Optometrist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.