Active NPI
Jose Domingo Rosa, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 239121
- Practice address
- 95 Grasslands Rd
Dept of Medicine-Munger Pavilion
Valhalla, NY 10595-1646 - Phone
- (914) 493-8370
- Fax
- (914) 594-4434
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239121 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 049160 | CT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 239121 | NY | Primary |
Addresses
Primary practice location
95 Grasslands Rd
Dept of Medicine-Munger Pavilion
Valhalla, NY 10595-1646
Mailing address
2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5789
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (917) 608-5303
Hospital & facility affiliations
- Phelps Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049160 | CT | MD | Critical Care Medicine (Internal Medicine) Physician |
| 239121 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| Critical Care Medical Management Associates PLLC | Critical Care Medicine | Current | Accepting new patients |
| Lawrence Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| Medical Research Associates,PC | Internal Medicine | Past | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100
685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
Interoperability endpoints
- jrosa308507@northwell.direct-ci.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- jor9248@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Anesthesiology) Physician
- Sleepy Hollow, NY
- NPI 1194090878
-
- Internal Medicine Physician
- Yorktown Heights, NY
- NPI 1023257441
-
- Multi-Specialty Clinic/Center
- Yorktown Heights, NY
- NPI 1184115479
-
- Emergency Medicine Physician
- Bronxville, NY
- NPI 1497260806
-
- Internal Medicine Physician
- Valhalla, NY
- NPI 1801841895
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1811938947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GRASSLANDS RD",
"address_2": "DEPT OF MEDICINE-MUNGER PAVILION",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951646",
"telephone_number": "914-493-8370",
"fax_number": "914-594-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "JOSE",
"middle_name": "DOMINGO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "239121",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "049160",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "239121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.