Organization Active NPI

Suzanne Sirota Rozenberg DO,PC

  • Procedural Dermatology Physician
  • Woodmere, NY
National Provider Identifier
1881604593
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
180480 Issued in NY
Legal business name
SUZANNE SIROTA ROZENBERG DO,PC
Practice address
11 Irving PL
Woodmere, NY 11598-1256
Phone
(516) 295-5570
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Dr. Suzanne Janice Sirota Rozenberg, DONPI 1841245859
Title
President
Phone
(516) 295-5570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 180480 NY Primary

Addresses

Primary practice location

11 Irving PL
Woodmere, NY 11598-1256

Mailing address

11 Irving PL
Woodmere, NY 11598-1256
Phone (516) 295-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000028 NY Part B Supplier - Clinic/Group Practice 0547264970 Receives reassigned benefits from 4 practitioners
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1881604593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981256",
            "telephone_number": "516-295-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981256",
            "telephone_number": "516-295-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE SIROTA ROZENBERG DO,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "SIROTA ROZENBERG",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-295-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "180480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.