Active NPI
Michael J Rokosky, MD
- Pediatrics Physician
- Waterbury, CT
National Provider Identifier
1871650499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- CT025433
- Practice address
- 1404 West Main St
Waterbury, CT 06708 - Phone
- (203) 754-2880
- Fax
- (203) 757-5584
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | CT025433 | CT | Primary |
Addresses
Primary practice location
1404 West Main St
Waterbury, CT 06708
Mailing address
1404 West Main St
Waterbury, CT 06708
Phone (203) 754-2880
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P370408 | Other | CT | OXFORD |
| 4112831 | Other | CT | AETNA US HEALTHCARE |
| 736386 | Other | CT | CONNECTICARE |
| 010025433CT01 | Other | CT | BCBS |
Other names 1
- Michael J Rokosky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT025433 | CT | MD | Pediatrics Physician |
Interoperability endpoints
- mrokosky@direct.wtbyhosp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871650499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 WEST MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-754-2880",
"fax_number": "203-757-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 WEST MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-754-2880",
"fax_number": "203-757-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKOSKY",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "CT025433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P370408",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4112831",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "736386",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010025433CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "ROKOSKY",
"middle_name": "J",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Waterbury, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.