CLR Carthage LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

CLR CARTHAGE LLC

Practice address

1045 West St
Carthage, NY 13619-9762

Phone

(315) 493-3221

Fax

(315) 493-6523

NPI assigned

Jun 5, 2017

Organization subpart

No

Name

Kenneth Rozenberg

Title

Member

Phone

(718) 931-9700

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

• Jerzy Miroslaw Rogowski, MD

  • Internal Medicine Physician
  • New Hartford, NY
  • NPI 1144561721
  NPD (past)

• Carthage Physician Group Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2018.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1922537844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199762",
            "telephone_number": "315-493-3221",
            "fax_number": "315-493-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR CARTHAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00774465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carthage Physician Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miriam Katherine Chalom
• Kendra Jo Chisamore, SLP
• Debra Lou Clark, LMHC NCC
• Katie Marie Clough-Perin, D.D.S.
• CLR Carthage LLC
• Andrea L. Cole, CNM
• Cheryl B Cole
• Melissa A Coombs, DPT
• Maria Coyne
• Julie Ann Crabb, RN

• All providers in Carthage, NY
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.