Active NPI
Paul Ira Rosen, D.M.D.
- General Practice Dentistry
- Jamaica, NY
National Provider Identifier
1699765651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031862
- Practice address
- 8928 Merrick Blvd
100 Washington St. Hempstead Ny 11550
Jamaica, NY 11432-5243 - Phone
- (718) 291-9456
- Fax
- (718) 558-0861
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 031862 | NY | Primary |
Addresses
Primary practice location
8928 Merrick Blvd
100 Washington St. Hempstead Ny 11550
Jamaica, NY 11432-5243
Mailing address
35 Pheasant LN
Woodbury, NY 11797-1928
Phone (516) 364-9540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 031862 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1699765651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PHEASANT LN",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971928",
"telephone_number": "516-364-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 MERRICK BLVD",
"address_2": "100 WASHINGTON ST. HEMPSTEAD NY 11550",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325243",
"telephone_number": "718-291-9456",
"fax_number": "718-558-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "PAUL",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "031862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.