Individual provider Active NPI

Mitchell Rosen, MD

  • Pulmonary Disease Physician
  • Carmel, NY
National Provider Identifier
1730278458
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
174280 Issued in NY
Practice address
667 Stoneleigh Ave Ste 114
Carmel, NY 10512-2455
Phone
(845) 278-5627
Fax
(845) 314-1419
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 174280 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave Ste 114
Carmel, NY 10512-2455

Mailing address

667 Stoneleigh Ave Ste 114
Carmel, NY 10512-2455
Phone (845) 278-5627

Other identifiers 1

IdentifierTypeStateIssuer
01721842MedicaidNY

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
I20050510000791 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7517907488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H and L Rojas MDPCGroup PAC ID 9032296355, 2 clinicians

Practice addresses (Care Compare)

667 Stoneleigh Ave
Suite 114
Carmel, NY 10512-2454

667 Stoneleigh Ave
Suite 114
Carmel, NY 10512-2455
Phone (845) 278-5627

Hospital & facility affiliations

  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score
87.52 of 100Reported as individual
Quality
83.51
Improvement activities
40
Cost
80.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H & L Rojas MDPC CurrentSince Mar 1, 2008 Accepting new patients
Barns Center Pharmacy Inc PastSince Dec 15, 2024 Accepting new patients
Docs Physicians Affiliated With Bimc Past Accepting new patients

Locations

667 Stoneleigh Ave
Ste 114
Carmel, NY 10512
Phone (845) 278-2600

1071 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 225-2550

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1730278458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 114",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-278-5627",
            "fax_number": "845-314-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 114",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-278-5627",
            "fax_number": "845-314-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "174280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01721842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.