Organization Active NPI

Lisa Rosenberg MD PC

  • Obstetrics & Gynecology Physician
  • Fresh Meadows, NY
National Provider Identifier
1750661104
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
151716 Issued in NY
Legal business name
LISA ROSENBERG MD PC
Practice address
61-34 188TH St
Suite 214
Fresh Meadows, NY 11365-2726
Phone
(718) 454-3200
Fax
(718) 454-4191
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Lisa Rosenberg, MD
Title
MD/Owner
Phone
(718) 454-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 151716 NY Primary

Addresses

Primary practice location

61-34 188TH St
Suite 214
Fresh Meadows, NY 11365-2726

Mailing address

61-34 188TH St
Suite 214
Fresh Meadows, NY 11365-2726
Phone (718) 454-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1750661104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61-34 188TH ST",
            "address_2": "SUITE 214",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-3200",
            "fax_number": "718-454-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-34 188TH ST",
            "address_2": "SUITE 214",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-3200",
            "fax_number": "718-454-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ROSENBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "718-454-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "151716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.