Brian J Rosen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037842 Issued in NY

Practice address

292 Broadway
Lynbrook, NY 11563-3287

Phone

(516) 887-0008

Fax

(516) 887-0840

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992811368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633287",
            "telephone_number": "516-887-0008",
            "fax_number": "516-887-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633287",
            "telephone_number": "516-887-0008",
            "fax_number": "516-887-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00853338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Francis Roberts
• Rockaway Scripts RX Inc.
• David Robinson Rodriguez, M.D.
• Roman Brushtein Medical PLLC
• Dominick Rosello
• Wendy Rosen, D.M.D.
• Sidney Rosenberg, MD
• Laura Rosenfeld
• Lisa Caren Roth, M.D.
• Stephen Jason Roth, MD

• General Practice Dentistry in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.