Active NPI
Rostovsky Medical Practice P.C.
- Primary Care Clinic/Center
- New York, NY
National Provider Identifier
1891044145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 238524
- Legal business name
- ROSTOVSKY MEDICAL PRACTICE P.C.
- Practice address
- 203 West 87TH Street
Suite 21
New York, NY 10024-0000 - Phone
- (646) 238-0266
- Fax
- (718) 360-5366
- NPI assigned
- Aug 31, 2012
- 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
- Dr. Anton Rostovsky, MD
- Title
- Medical Director
- Phone
- (646) 238-0266
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238524 | NY | |
| Primary Care Clinic/Center | 261QP2300X | 238524 | NY | Primary |
Addresses
Primary practice location
203 West 87TH Street
Suite 21
New York, NY 10024-0000
Mailing address
203 West 87TH Street
Suite 21
New York, NY 10024-0000
Phone (646) 238-0266
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352764800000",
"number": "1891044145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 WEST 87TH STREET",
"address_2": "SUITE 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100240000",
"telephone_number": "646-238-0266",
"fax_number": "718-360-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 WEST 87TH STREET",
"address_2": "SUITE 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100240000",
"telephone_number": "646-238-0266",
"fax_number": "718-360-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSTOVSKY MEDICAL PRACTICE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-31",
"last_updated": "2012-11-13",
"status": "A",
"authorized_official_last_name": "ROSTOVSKY",
"authorized_official_first_name": "ANTON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "646-238-0266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "238524",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "238524",
"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 Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.