Individual provider Active NPI

Dara Jean Rosenberg, DDS, MS, MPH

  • Dentist
  • Bronx, NY
National Provider Identifier
1700817178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035933 Issued in NY
Practice address
183Rd Street and Third Avenue
St Barnabas Hospital, Department of Dentistry
Bronx, NY 10457
Phone
(718) 960-6498
Fax
(718) 960-3663
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 035933 NY Primary

Addresses

Primary practice location

183Rd Street and Third Avenue
St Barnabas Hospital, Department of Dentistry
Bronx, NY 10457

Mailing address

183Rd Street and Third Avenue
St Barnabas Hospital, Department of Dentistry
Bronx, NY 10457
Phone (718) 960-6498

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 Science

State licenses

LicenseStateTypeSpecialty
035933NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700817178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183RD STREET AND THIRD AVENUE",
            "address_2": "ST BARNABAS HOSPITAL, DEPARTMENT OF DENTISTRY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-960-6498",
            "fax_number": "718-960-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183RD STREET AND THIRD AVENUE",
            "address_2": "ST BARNABAS HOSPITAL, DEPARTMENT OF DENTISTRY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-960-6498",
            "fax_number": "718-960-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.