Individual provider Active NPI

Michael Aaron Rosenberg, M.D.

  • Occupational Medicine Physician
  • West Seneca, NY
National Provider Identifier
1790057768
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
153473 Issued in NY
Practice address
3121 Clinton St
Suite 6
West Seneca, NY 14224-1375
Phone
(716) 668-8800
Fax
(716) 668-8840
NPI assigned
Feb 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 153473 NY Primary

Addresses

Primary practice location

3121 Clinton St
Suite 6
West Seneca, NY 14224-1375

Mailing address

3121 Clinton St
Suite 6
West Seneca, NY 14224-1375
Phone (716) 668-8800

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409001688 NY Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 6507129301

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1790057768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 CLINTON ST",
            "address_2": "SUITE 6",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241375",
            "telephone_number": "716-668-8800",
            "fax_number": "716-668-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CLINTON ST",
            "address_2": "SUITE 6",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241375",
            "telephone_number": "716-668-8800",
            "fax_number": "716-668-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "153473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.