Active NPI
Roslyn Gail Murov, M.D.
- Pediatrics Physician
- Jamaica Plain, MA
National Provider Identifier
1639324072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50978
- Practice address
- 75 Bickford Street
Martha Eliot Health Center
Jamaica Plain, MA 02130 - Phone
- (617) 919-4432
- Fax
- (617) 971-2314
- NPI assigned
- Nov 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 180912-1 | NY | |
| Pediatrics Physician | 208000000X | 50978 | MA | Primary |
Addresses
Primary practice location
75 Bickford Street
Martha Eliot Health Center
Jamaica Plain, MA 02130
Mailing address
75 Bickford Street
Martha Eliot Health Center
Jamaica Plain, MA 02130
Phone (617) 919-4432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Washington University School of Medicine, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
590 Ave of the Americas
New York, NY 10011-2022
590 Ave of the Americas
FL 10
New York, NY 10011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50978 | MA | MD | Pediatrics Physician |
| 180912-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Foundling | Current | Accepting new patients | |
| The New York Foundling Hospital | Current | Accepting new patients | |
| New York Foundling | Current | Accepting new patients |
Locations
170 Brown Pl
Bronx, NY 10454
Phone (212) 206-7140
590 Ave of the Americas
Fl 10
New York, NY 10011
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- New York, NY
- NPI 1649442229
-
- Health Service Clinic/Center
- Bronx, NY
- NPI 1598930869
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New York, NY
- NPI 1114625530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1639324072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BICKFORD STREET",
"address_2": "MARTHA ELIOT HEALTH CENTER",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-919-4432",
"fax_number": "617-971-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BICKFORD STREET",
"address_2": "MARTHA ELIOT HEALTH CENTER",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-919-4432",
"fax_number": "617-971-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUROV",
"first_name": "ROSLYN",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "180912-1",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "50978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.