Organization Active NPI

Rostovsky Medical Practice P.C.

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1891044145
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
238524 Issued in NY
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

Updated by the provider on Nov 13, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.