Individual provider Active NPI

Martin E Rosen, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1861563074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
131954 Issued in NY
Practice address
2270 Kimball St
Brooklyn, NY 11234-5139
Phone
(718) 252-0570
Fax
(718) 253-3421
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 131954 NY Primary

Addresses

Primary practice location

2270 Kimball St
Brooklyn, NY 11234-5139

Mailing address

2270 Kimball St
Brooklyn, NY 11234-5139
Phone (718) 252-0570

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
I20090622000273 NY Practitioner - Gastroenterology 9335290931 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2270 Kimball St
Suite 210
Brooklyn, NY 11234-5158

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131954NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Traube Marush & Plawes M D P C Gastroenterology CurrentSince Sep 22, 2022 Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince Jun 6, 2017 Accepting new patients

Locations

2270 Kimball St
Ste 210
Brooklyn, NY 11234
Phone (718) 252-0570

2270 Kimball St
Brooklyn, NY 11234
Phone (718) 258-8383

2275 Coleman St
Ste 105
Brooklyn, NY 11234
Phone (718) 692-2700

9021 Seaview Ave
Brooklyn, NY 11236
Phone (718) 444-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26654/brand/3/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861563074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "718-252-0570",
            "fax_number": "718-253-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "718-252-0570",
            "fax_number": "718-253-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MARTIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "131954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.