Individual provider Active NPI

Daniel D Rosen, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1699863357
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
198764 Issued in NY
Practice address
1562 1St Ave Apt 140
New York, NY 10028-4004
Phone
(212) 545-1212
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 198764 NY Primary

Addresses

Primary practice location

1562 1St Ave Apt 140
New York, NY 10028-4004

Mailing address

1562 1St Ave Apt 140
New York, NY 10028-4004
Phone (212) 545-1212

Other identifiers 1

IdentifierTypeStateIssuer
00244284MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000973 NY Practitioner - Psychiatry 1456309657 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
Connect RF Medicine PLLC Psychiatry CurrentSince Sep 7, 2024 Accepting new patients
SBH Community Service Network, Inc. CurrentSince Jan 27, 2022 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jan 3, 2011 Accepting new patients
New York Gracie Square Hospital Inc CurrentSince Dec 17, 2018 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jan 3, 2011 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Astrocare, Inc. Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

425 Kings Hwy
Brooklyn, NY 11223

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

1216 Broadway
New York, NY 10001
Phone (646) 688-3540

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • Direct secure messaging: drosen1788672@nychhc.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1699863357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 1ST AVE APT 140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284004",
            "telephone_number": "212-545-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 1ST AVE APT 140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284004",
            "telephone_number": "212-545-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "198764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.