Organization Active NPI

Rosa & Caldroney MD DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1861890162
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ROSA & CALDRONEY MD DDS PLLC
Practice address
1049 5TH Ave
Ste. 1a
New York, NY 10028-0115
Phone
(212) 861-1961
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Peter A. Rosa, DDS MD
Title
Owner
Phone
(212) 861-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1049 5TH Ave
Ste. 1a
New York, NY 10028-0115

Mailing address

1049 5TH Ave
Ste. 1a
New York, NY 10028-0115
Phone (212) 861-1961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1861890162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE",
            "address_2": "STE. 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-861-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE",
            "address_2": "STE. 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-861-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA & CALDRONEY MD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-861-1961",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.