Individual provider Active NPI

Andrew David Rozbruch, DO

  • Anesthesiology Physician
  • Plainview, NY
National Provider Identifier
1861669418
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
245833 Issued in NY
Practice address
888 Old Country Rd
Plainview, NY 11803
Phone
(516) 719-3000
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245833 NY Primary

Addresses

Primary practice location

888 Old Country Rd
Plainview, NY 11803

Mailing address

3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

Other identifiers 2

IdentifierTypeStateIssuer
03241352MedicaidNY
P01054324OtherNYRAILROAD MEDICARE

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
I20100903000708 NY Practitioner - Anesthesiology 9739203266 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Practice addresses (Care Compare)

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245833NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Oct 1, 2020 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Mar 13, 2021 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
New York University CurrentSince Aug 1, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 1, 2010 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 1, 2020 Accepting new patients
New York University Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Long Island Anesthesiologists, PLLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
New York University CurrentSince Aug 1, 2021 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Mar 13, 2021 Accepting new patients
Resource Anesthesiology Associates,PC Anesthesiology CurrentSince Jun 21, 2021 Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Anesthesiology Past Accepting new patients

Locations

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

290 Central Ave
Ste 107
Lawrence, NY 11559
Phone (516) 239-8877

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

355 W 52nd St
New York, NY 10019
Phone (646) 754-2100

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1861669418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-719-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZBRUCH",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "245833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03241352",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01054324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.