Individual provider Active NPI

Jay Rosen, O.D.

  • Optometrist
  • Scarsdale, NY
National Provider Identifier
1740260322
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV002798-1 Issued in NY
Practice address
8 Spencer PL
Scarsdale, NY 10583-4111
Phone
(914) 472-2020
Fax
(914) 725-0793
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV002798-1 NY Primary

Addresses

Primary practice location

8 Spencer PL
Scarsdale, NY 10583-4111

Mailing address

8 Spencer PL
Scarsdale, NY 10583-4111
Phone (914) 472-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601001559 NY Practitioner - Optometry 3779565064 Practice locations: Scarsdale, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV002798-1NYMDOptometrist
002798NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1740260322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834111",
            "telephone_number": "914-472-2020",
            "fax_number": "914-725-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834111",
            "telephone_number": "914-472-2020",
            "fax_number": "914-725-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.