Active NPI
Stuart A Rosenthal, MD
- Ophthalmology Physician
- Garnerville, NY
National Provider Identifier
1659356657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 090757
- Practice address
- 171 Ramapo Rd
Garnerville, NY 10923 - Phone
- (845) 947-2240
- Fax
- (845) 947-2265
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 090757 | NY | Primary |
Addresses
Primary practice location
171 Ramapo Rd
Garnerville, NY 10923
Mailing address
171 Ramapo Rd
Garnerville, NY 10923
Phone (845) 947-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00144078 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090757 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1659356657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 RAMAPO RD",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "10923",
"telephone_number": "845-947-2240",
"fax_number": "845-947-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 RAMAPO RD",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "10923",
"telephone_number": "845-947-2240",
"fax_number": "845-947-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "STUART",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "090757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00144078",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.