Individual provider Active NPI

Paul Ronald Rosenberg, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1932198454
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD029241E Issued in PA
Practice address
130 Fort Washington Avenue
Ste 114
New York, NY 10032
Phone
(212) 568-2600
Fax
(212) 568-0097
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD029241E PA Primary

Addresses

Primary practice location

130 Fort Washington Avenue
Ste 114
New York, NY 10032

Mailing address

130 Fort Washington Avenue
Ste 1M
New York, NY 10032
Phone (212) 568-2600

Other identifiers 1

IdentifierTypeStateIssuer
0009484060004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002342 NY Practitioner - Ophthalmology 3971496225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur M. Cotliar, MD PLLCGroup PAC ID 9234279266, 8 clinicians

Practice addresses (Care Compare)

130 Fort Washington Ave
Apt 1M
New York, NY 10032-4745
Phone (212) 568-2600

Merit-based Incentive Payment System (MIPS)

Final score
98.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029241EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur M. Cotliar, MD PLLC CurrentSince Mar 9, 2020 Accepting new patients
Arthur M. Cotliar, MD, PLLC CurrentSince Mar 9, 2020 Accepting new patients

Locations

880 River Ave
Bronx, NY 10452
Phone (718) 992-0410

635 W 165th St
Ste 104
New York, NY 10032
Phone (212) 305-2241

635 W 165th St
#104
New York, NY 10032
Phone (212) 305-2241

130 Fort Washington Ave
Apt 1M
New York, NY 10032
Phone (212) 568-2600

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: prosenberg@cotliar.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1932198454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FORT WASHINGTON AVENUE",
            "address_2": "STE 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-568-2600",
            "fax_number": "212-568-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORT WASHINGTON AVENUE",
            "address_2": "STE 114",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-568-2600",
            "fax_number": "212-568-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "PAUL",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029241E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009484060004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.