Individual provider Active NPI

Ron Rosen, M.D.

  • Nuclear Medicine Physician
  • New York, NY
National Provider Identifier
1750331468
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
302292 Issued in NY
Practice address
1 Gustave L Levy PL
New York, NY 10029-6504
Phone
(212) 241-8333
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 302292 NY Primary
Specialist 174400000X MD34026 DC
Nuclear Medicine Physician 207U00000X A96556 CA

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6504

Mailing address

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8333

Other practice location 1

2211 Moorpark Ave Ste 220
San Jose, CA 95128-2632
Phone (408) 297-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120118000809 CA Practitioner - Nuclear Medicine 0547249161 Reassigns benefits to 5 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians

Practice addresses (Care Compare)

1103 Doyle PL
Mountain View, CA 94040-3240
Phone (408) 866-4075

1177 Elmsford CT
Cupertino, CA 95014-4907
Phone (408) 866-4075

2211 Moorpark Ave
Suite 220
San Jose, CA 95128-2632
Phone (408) 297-8844

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD34026DCMDSpecialist
A96556CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc CurrentSince Jul 14, 2024 Accepting new patients
Palm Desert Radiology Medical Group, Inc CurrentSince Nov 1, 2025 Accepting new patients
Pet Imaging of San Jose, LLC CurrentSince Sep 4, 2011 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation CurrentSince Jun 1, 2024 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Washington Radiology Associates, PLLC Specialist Past Accepting new patients
Washington Radiology Assoc PLLC Specialist Past Accepting new patients
Quantum Medical Radiology of California, P.C. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
#1112
Indio, CA 92201

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

2211 Moorpark Ave
Ste 220
San Jose, CA 95128
Phone (408) 297-8844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1750331468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Moorpark Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282632",
            "country_code": "US",
            "telephone_number": "408-297-8844",
            "fax_number": "408-297-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "RON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "302292",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD34026",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A96556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.