Organization Active NPI

Rockwell Health LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1699479733
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ROCKWELL HEALTH LLC
Practice address
17 W 9TH St
Brooklyn, NY 11231-2501
Phone
(718) 599-9090
NPI assigned
Mar 30, 2023
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Mr. Wolf Eisenbach
Title
Owner
Phone
(917) 202-8542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

17 W 9TH St
Brooklyn, NY 11231-2501

Mailing address

202 Caton Ave
Brooklyn, NY 11218-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721000287 NY Part B Supplier - Clinic/Group Practice 5597125609 Receives reassigned benefits from 26 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2273277Rockwell Health LLC17 W 9TH St, Brooklyn, NY 11231Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1699479733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CATON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312501",
            "telephone_number": "718-599-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "EISENBACH",
        "authorized_official_first_name": "WOLF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-202-8542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.