Individual provider Active NPI

Rosalie V Woodside, MA

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1699980029
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
225 Eastern Pkwy
Apt 4F
Brooklyn, NY 11238-6384
Phone
(718) 398-2039
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

225 Eastern Pkwy
Apt 4F
Brooklyn, NY 11238-6384

Mailing address

225 Eastern Pkwy
Apt 4F
Brooklyn, NY 11238-6384
Phone (718) 398-2039

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1699980029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EASTERN PKWY",
            "address_2": "APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386384",
            "telephone_number": "718-398-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EASTERN PKWY",
            "address_2": "APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386384",
            "telephone_number": "718-398-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "ROSALIE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "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 Jul 26, 2007; 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.