Individual provider Active NPI

Suzanne Janice Sirota Rozenberg, DO

  • Procedural Dermatology Physician
  • Woodmere, NY
National Provider Identifier
1841245859
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
180480 Issued in NY
Practice address
11 Irving PL
Woodmere, NY 11598-1256
Phone
(516) 295-5570
Fax
(516) 295-5575
NPI assigned
May 24, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 180480 NY Primary

Addresses

Primary practice location

11 Irving PL
Woodmere, NY 11598-1256

Mailing address

11 Irving PL
Woodmere, NY 11598-1256
Phone (516) 295-5570

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
I20051003000542 NY Practitioner - DermatologyPractitioner - Family Practice 8820023427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suzanne Sirota Rozenberg, DO,PCGroup PAC ID 0547264970, 2 clinicians
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

11 Irving PL
Woodmere, NY 11598-1256
Phone (516) 295-5570

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions596
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Apr 1, 2009 Accepting new patients
Suzanne Rozenberg, DO Brooklyn PC Procedural Dermatology Current Accepting new patients
Suzanne Sirota Rozenberg DO,PC Procedural Dermatology CurrentSince Apr 1, 2006 Accepting new patients
Sheldon Med-Surge PC PastSince Dec 4, 2008 Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

327 Beach 19th St
#B
Far Rockaway, NY 11691
Phone (718) 869-7000

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

11 Irving Pl
Woodmere, NY 11598
Phone (516) 295-5570

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: suzanne.sirota.rozenberg.1@14448.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1841245859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981256",
            "telephone_number": "516-295-5570",
            "fax_number": "516-295-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981256",
            "telephone_number": "516-295-5570",
            "fax_number": "516-295-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTA ROZENBERG",
        "first_name": "SUZANNE",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "180480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.