Organization Active NPI

Sam Rosemberg MD PC

  • Urology Physician
  • Novi, MI
National Provider Identifier
1609926856
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
SR036293 Issued in MI
Legal business name
SAM ROSEMBERG MD PC
Practice address
41935 W 12 Mile
Ste 308
Novi, MI 48377
Phone
(248) 735-2441
NPI assigned
Jan 11, 2007
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Samuel Rosemberg, M.DNPI 1053300830
Title
Owner
Phone
(248) 735-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X SR036293 MI Primary

Addresses

Primary practice location

41935 W 12 Mile
Ste 308
Novi, MI 48377

Mailing address

41935 W 12 Mile Rd
Suite #308
Novi, MI 48377-3111
Phone (248) 735-2441

Other identifiers 1

IdentifierTypeStateIssuer
4816290MedicaidMI

National Provider Directory

National Provider Directory

Locations

1760 Momentum Pl
Chicago, IL 60689

9640 Commerce Rd
Ste 106
Commerce Twp, MI 48382
Phone (248) 360-8825

5662 W Vernor Hwy
Detroit, MI 48209
Phone (313) 557-0644

41935 W Twelve Mile Rd
Ste 308
Novi, MI 48377
Phone (248) 735-2441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1609926856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE RD",
            "address_2": "SUITE #308",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773111",
            "telephone_number": "248-735-2441",
            "fax_number": "248-735-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE",
            "address_2": "STE 308",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-735-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM ROSEMBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "ROSEMBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-735-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "SR036293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4816290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.