Active NPI
Clary Del Rosario
- Specialist
- Bronx, NY
National Provider Identifier
1619420577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2349688
- Practice address
- 1082 Gerard Ave
1B
Bronx, NY 10452-8809 - Phone
- (914) 354-0198
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2349688 | NY | Primary |
Addresses
Primary practice location
1082 Gerard Ave
1B
Bronx, NY 10452-8809
Mailing address
1082 Gerard Ave Apt 1B
Bronx, NY 10452-8818
Phone (347) 925-7797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2349688 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1619420577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 GERARD AVE APT 1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104528818",
"telephone_number": "347-925-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 GERARD AVE",
"address_2": "1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104528809",
"telephone_number": "914-354-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL ROSARIO",
"first_name": "CLARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2349688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.