Organization Active NPI

Kenneth J Rosenthal MD PC

Doing business as Rosenthal Eye Surgery and Rosenthal Facial Plastic Surgery

  • Specialist
  • Great Neck, NY
National Provider Identifier
1861647042
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138603 Issued in NY
Legal business name
KENNETH J ROSENTHAL MD PC
Doing business as
Rosenthal Eye Surgery and Rosenthal Facial Plastic Surgery
Practice address
310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432
Phone
(516) 466-8989
Fax
(516) 466-8962
NPI assigned
Dec 1, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Kenneth J Rosenthal, MDNPI 1295750230
Title
President / Surgeon
Phone
(516) 466-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 138603 NY Primary

Addresses

Primary practice location

310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 102
Great Neck, NY 11023-2432
Phone (516) 466-8989

Other names 1

  • Rosenthal Eye Surgery and Rosenthal Facial Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000683 NY Part B Supplier - Clinic/Group Practice 2365600582 Receives reassigned benefits from 3 practitioners
Practice locations: Great Neck, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

310 E Shore Rd
Ste 102
Great Neck, NY 11023
Phone (516) 466-8989

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1861647042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-8989",
            "fax_number": "516-466-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-8989",
            "fax_number": "516-466-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J ROSENTHAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / SURGEON",
        "authorized_official_telephone_number": "516-466-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "138603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosenthal Eye Surgery and Rosenthal Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.