Active NPI
Ayala Rosenbaum, M.D.
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 222572
- Practice address
- 1421 Third Ave.
First Floor
New York, NY 10028-1802 - Phone
- (212) 744-5538
- Fax
- (212) 744-4767
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 222572 | NY | Primary |
Addresses
Primary practice location
1421 Third Ave.
First Floor
New York, NY 10028-1802
Mailing address
1421 3Rd Ave
First Floor
New York, NY 10028-1802
Phone (212) 744-5538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222572 | Other | NY | LICENSE (MD) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
1421 3Rd Ave
New York, NY 10028-1899
Phone (212) 744-5538
27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000
Hospital & facility affiliations
- Lenox Hill Hospital
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222572 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC | Past | Accepting new patients | |
| Computerized Diagnostic Scanning Associates,P.C. | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
1421 3rd Ave
Apt 1
New York, NY 10028
Phone (212) 744-5538
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- arosenbaum68710@northwell.direct-ci.com
Organizations & group practices 4
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.
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
NJ
-
- Specialist
- New York, NY
- NPI 1982700951
-
- Gynecology Physician
- New York, NY
- NPI 1710022140
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1649376583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 3RD AVE",
"address_2": "FIRST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281802",
"telephone_number": "212-744-5538",
"fax_number": "212-744-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 THIRD AVE.",
"address_2": "FIRST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281802",
"telephone_number": "212-744-5538",
"fax_number": "212-744-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "AYALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "222572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE (MD)",
"identifier": "222572",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.