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

Last updated

Apr 27, 2018By 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

Kenneth Rozenberg

Title

Member

Phone

(718) 931-9700

Specialties & licenses 1

Addresses

Other names 1

• Carthage Physician Group Other name

Practitioners 1

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.

• Jerzy Miroslaw Rogowski, MD

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

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

{
    "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": [],
    "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 (Carthage Center for Rehabilitation and Nursing)
• Andrea L. Cole, CNM
• Cheryl B Cole
• Melissa A Coombs, DPT
• Maria Coyne
• Julie Ann Crabb, RN

• Geriatric Medicine (Internal Medicine) Physician in Carthage, NY
• Providers in Carthage, NY by specialty
• 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.