Active NPI
Ralph Rosenberg MD
- Internal Medicine Physician
- Avon, CT
National Provider Identifier
1871774885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 023114
- Legal business name
- RALPH ROSENBERG MD
- Practice address
- 36 E Main St
Avon, CT 06001-3801 - Phone
- (860) 677-5533
- Fax
- (860) 678-1305
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Rosenberg, MD
- Title
- Owner/Operator
- Phone
- (860) 677-5533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 023114 | CT | Primary |
Addresses
Primary practice location
36 E Main St
Avon, CT 06001-3801
Mailing address
36 E Main St
Avon, CT 06001-3801
Phone (860) 677-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004245884 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1427341668
-
- Internal Medicine Physician
- Avon, CT
- NPI 1609853118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1871774885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 E MAIN ST",
"city": "AVON",
"state": "CT",
"postal_code": "060013801",
"telephone_number": "860-677-5533",
"fax_number": "860-678-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 E MAIN ST",
"city": "AVON",
"state": "CT",
"postal_code": "060013801",
"telephone_number": "860-677-5533",
"fax_number": "860-678-1305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH ROSENBERG MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "860-677-5533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "023114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004245884",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.