Rosedale Medical Office,PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

171192 Issued in NY

Legal business name

ROSEDALE MEDICAL OFFICE,PLLC

Practice address

25302 147TH Ave
Rosedale, NY 11422-2541

Phone

(718) 341-3535

Fax

(718) 341-1730

NPI assigned

Sep 12, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Akwasi Ankobiah, M.D.

Title

Ceo

Phone

(719) 341-3535

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 3

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.

• Melody Tsangmin Bautista, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1548368962
  NPD (past)
• Ebenezer Kofi Bentum Odoom, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Queens Village, NY
  • NPI 1154416691
  NPD (past)
• Kwasi O Boakye, M.D., F.A.C.E.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hillsdale, MI
  • NPI 1588659551

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1871788877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25302 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222541",
            "telephone_number": "718-341-3535",
            "fax_number": "718-341-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25302 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222541",
            "telephone_number": "718-341-3535",
            "fax_number": "718-341-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE MEDICAL OFFICE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ANKOBIAH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "AKWASI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-341-3535",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171192",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "171192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01145106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne Eric Rollins, MD
• Nicolonie Rose, LPN
• Tracey Maria Rose, MSN, FNP, RN-BC
• Vermesha Marie Rose
• Rosedale Dental PC
• Rosedale Pharmacy Ny Inc.
• Rosedale Physical Therapy Rehabilitation (Rosedale Physical Therapy Rehabilitation, PLLC)
• Stacy Annmarie Rowe
• Rso Medical Associates PLLC
• Phyllis Russell, MS RD CDN

• Internal Medicine Physician in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.