Organization Active NPI

Rosenberg Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Hewlett, NY
National Provider Identifier
1770117798
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
ROSENBERG MATERNAL FETAL MEDICINE
Practice address
1229 Broadway
Suite 201
Hewlett, NY 11557
Phone
(516) 501-9840
Fax
(516) 501-9850
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Victor A. Rosenberg, M.D.NPI 1164403457
Title
President
Phone
(516) 501-9840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

1229 Broadway
Suite 201
Hewlett, NY 11557

Mailing address

1229 Broadway
Suite 201
Hewlett, NY 11557
Phone (516) 501-9840

Other identifiers 1

IdentifierTypeStateIssuer
03035816MedicaidNY

National Provider Directory

National Provider Directory

Locations

1229 Broadway
Ste 201
Hewlett, NY 11557
Phone (516) 501-9840

625 Rockaway Tpke
Ste 2
Lawrence, NY 11559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1770117798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "address_2": "SUITE 201",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "11557",
            "telephone_number": "516-501-9840",
            "fax_number": "516-501-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "address_2": "SUITE 201",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "11557",
            "telephone_number": "516-501-9840",
            "fax_number": "516-501-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG MATERNAL FETAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-501-9840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03035816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.