NPIMap

Individual provider Active NPI

Dennis R. Rossi, M.D.

  • Diagnostic Radiology Physician
  • Lawrence, NY
National Provider Identifier
1952388951
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
103747 Issued in NY
Practice address
124 Sutton PL S
Lawrence, NY 11559-1728
Phone
(516) 371-4219
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 103747 NY Primary

Addresses

Primary practice location

124 Sutton PL S
Lawrence, NY 11559-1728

Mailing address

124 Sutton PL S
Lawrence, NY 11559-1728
Phone (516) 371-4219

Other identifiers 3

IdentifierTypeStateIssuer
00180089MedicaidNY
1025728690001MedicaidPA
5701058MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103747NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N. S. So Island Diag GRP Past Accepting new patients
Rockaway Imaging, P.C. Diagnostic Radiology PastSince Mar 24, 2005 Accepting new patients
Orlin & Cohen Orthopedic Associates, LLP Past Accepting new patients
Sea Shore Radiology, P.C. Diagnostic Radiology PastSince Aug 2, 2004 Accepting new patients
Long Beach Radiology Associates, LLP Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 5

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1952388951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SUTTON PL S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591728",
            "telephone_number": "516-371-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SUTTON PL S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591728",
            "telephone_number": "516-371-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "DENNIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "103747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00180089",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025728690001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5701058",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.