Individual provider Active NPI

Warren Scott Rosenzweig, DDS

  • General Practice Dentistry
  • Mount Vernon, NY
National Provider Identifier
1780759704
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040177 Issued in NY
Practice address
10 Fiske Place
Suite 325
Mount Vernon, NY 10550-3214
Phone
(914) 668-1813
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040177 NY Primary

Addresses

Primary practice location

10 Fiske Place
Suite 325
Mount Vernon, NY 10550-3214

Mailing address

10 Fiske Place
Suite 325
Mount Vernon, NY 10550-3214
Phone (914) 668-1813

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
I20150313001119 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416273263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1780759704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FISKE PLACE",
            "address_2": "SUITE 325",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503214",
            "telephone_number": "914-668-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISKE PLACE",
            "address_2": "SUITE 325",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503214",
            "telephone_number": "914-668-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "WARREN",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.