CARLY ROSENBERG (NPI# 1326565888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326565888 |
| Entity Type | Individual |
| Full Name | CARLY ROSENBERG |
| Practice Address |
1116 Main Rd Riverhead NY 11901-5714 |
| Mailing Address |
18 Lovell Rd Hampton Bays NY 11946-2833 |
| Practice Telephone | 6317222170 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175402 | Carly Rosenberg | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-07-05 |
| 1184083503 | Carly Rosenberg | Counselor | 175 E Hawthorn Pkwy, Suite 235, Vernon Hills, IL 60061-1463 | 2016-02-12 |
| Street Address |
1116 MAIN RD |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669716627 | Lauren Fuhs | Specialist | 536 Pleasure Dr, Riverhead, NY 11901-4924 | 2012-11-15 |
| 1548574155 | Five Boroughs Medical Associates, P.C. | Specialist | 36 Osprey Avenue, Riverhead, NY 11901 | 2010-08-06 |
| 1629212576 | Rebecca F Davis | Specialist | 112 Pier Ave, Riverhead, NY 11901-5409 | 2009-04-22 |
| 1639110802 | Beverly H Ortiz | Specialist | 715 Roanoke Ave, Riverhead, NY 11901-2769 | 2006-06-09 |
| 1487619409 | Zeinab Fathelbab | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2006-04-20 |
| 1205813268 | Mitchell Meyerson | Specialist | 1149 Old Country Rd, Suite C4, Riverhead, NY 11901-2057 | 2005-12-29 |
| 1003396839 | Diane Panchak | Specialist | 18 Center Dr, Riverhead, NY 11901-1078 | 2018-08-21 |
| 1902078173 | Urological Associates of Li, PC | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2008-03-28 |
| 1689862880 | Mitchell S. Meyerson, Md, PC | Specialist | 1015 Roanoke Ave, Riverhead, NY 11901-2735 | 2007-10-12 |
| 1811187214 | Peconic Surgical Group, PC | Specialist | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | 2007-07-31 |
| Find all providers in RIVERHEAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.