Alan Leonard Rosenberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033692 Issued in NY

Practice address

6134 188TH St
Suite 201
Fresh Meadows, NY 11365-2726

Phone

(718) 454-6862

Fax

(718) 454-6939

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861415671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 201",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-6862",
            "fax_number": "718-454-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 201",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-6862",
            "fax_number": "718-454-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ALAN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02410608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siara Sky Rodriguez
• Ana Teresa Roldan, SLP-CCC
• Geraldine Roman
• Kristen Romani, FNP
• Tamar Rosenbaum
• Lisa Rosenberg, MD
• Gail Rosenbloom, MHC
• Nancy Ellen Rosenbloom, MSED.
• Ora Rosenfeld Canter, DDS
• Joshua S Rosenthal, LMHC

• General Practice Dentistry in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.