Clive Rosendorff, M.D., PH.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

186625-1 Issued in NY

Practice address

130 W Kingsbridge Rd
Medicine (111) , JJP Vamc
Bronx, NY 10468-3904

Phone

(718) 741-4292

Fax

(718) 741-4233

NPI assigned

Aug 11, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619988086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CENTRAL PARK W",
            "address_2": "APARTMENT 83",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257145",
            "telephone_number": "212-865-3674",
            "fax_number": "718-741-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "MEDICINE (111) , JJP VAMC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-741-4292",
            "fax_number": "718-741-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENDORFF",
        "first_name": "CLIVE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "186625-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02516172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Marc Rosenbluth, DPT, PT
• Hannah Rosenbluth
• Rebecca A Rosenbluth, MPS, ATR-BC, LCAT
• Maria Rosenda, MS.ED.
• Sandra Rosendo, PA
• Adelle Rosenfeld
• Hal Daniel Rosenfeld, DC
• Jillian Rosengard, MD
• Rebecca Rosengren
• Sarah M Rosenheck-Galanty, DO

• Cardiovascular Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.