James Stephen Rosokoff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

16895 Issued in CT

Practice address

15 Concord Street
Glastonbury, CT 06033

Phone

(860) 659-2779

Fax

(860) 633-9315

NPI assigned

Jul 3, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ali Banki, D.O., P.C.

  • Dermatology Physician
  • Glastonbury, CT
  • NPI 1811293350
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1629008131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONCORD STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-2779",
            "fax_number": "860-633-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONCORD STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-2779",
            "fax_number": "860-633-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOKOFF",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "16895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "713297",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS536",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001168954",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Rose, D.D.S.
• Rosedale of Glastonbury LP
• Sally B Rosenberg, DDS
• Dena Rosenbloom, PH.D.
• Rosewood Therapy CT
• Ross Physical Therapy Services LLC
• Mark David Ross, MS, ATC, CSCS
• Richard L Ross Jr., PT
• Round and Herrick Family Dentistry P.C.
• John Round, D.M.D.

• Dermatology Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.