Individual provider Active NPI

Rose Kadosh

  • Adult Companion
  • Brooklyn, NY
National Provider Identifier
1659902252
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
9190L001 Issued in NY
Practice address
8210 19TH Ave Apt B3
Brooklyn, NY 11214-2329
Phone
(347) 779-3104
NPI assigned
Feb 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 9190L001 NY Primary

Addresses

Primary practice location

8210 19TH Ave Apt B3
Brooklyn, NY 11214-2329

Mailing address

8210 19TH Ave Apt B3
Brooklyn, NY 11214-2329
Phone (347) 779-3104

Other identifiers 1

IdentifierTypeStateIssuer
TF-3831216MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rkkardashev@gmail.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9190L001NYMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1659902252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 19TH AVE APT B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142329",
            "telephone_number": "347-779-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 19TH AVE APT B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142329",
            "telephone_number": "347-779-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOSH",
        "first_name": "ROSE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NY",
            "license": "9190L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TF-3831216",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rkkardashev@gmail.com",
            "affiliation": "N",
            "endpointDescription": "We keep information at mailing address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8210 19th Ave Apt B3",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112142329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.