Michael J Rosen M D P C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

179918-1 Issued in NY

Legal business name

MICHAEL J ROSEN M D P C

Practice address

775 Park Ave
Suite 155
Huntington, NY 11743-3976

Phone

(516) 761-3568

Fax

(845) 340-7314

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Rosen, MD

Title

Sole Owner

Phone

(516) 761-3568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1699020545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117400747",
            "telephone_number": "516-761-3568",
            "fax_number": "845-340-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 155",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "516-761-3568",
            "fax_number": "845-340-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J ROSEN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "516-761-3568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "179918-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Denyse Meyer, LCSW
• Matthew Jon Meyer, DMD
• Quinn C Meyer
• William J Meyer, L.M.T.,C.P.T.
• Kristyn Mezzafonte, NP
• Linnea Michaels
• Edith Michel
• Kara Micucci
• Joseph Milano, M.D.
• Samantha Mary Milano, PA-C

• Psychiatry Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.