Organization Active NPI

Nedra Rosen, M.D., P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1811010614
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
150246 Issued in NY
Legal business name
NEDRA ROSEN, M.D., P.C.
Practice address
115 E 57TH St
Suite 630
New York, NY 10022-2049
Phone
(212) 583-2990
Fax
(212) 583-2991
NPI assigned
Apr 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Nedra Rosen, M.D.
Title
President
Phone
(212) 583-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 150246 NY Primary

Addresses

Primary practice location

115 E 57TH St
Suite 630
New York, NY 10022-2049

Mailing address

115 E 57TH St
Suite 630
New York, NY 10022-2049
Phone (212) 583-2990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1811010614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-583-2990",
            "fax_number": "212-583-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-583-2990",
            "fax_number": "212-583-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDRA ROSEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-583-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.