DR. CHARLES A LA ROSA (NPI# 1619900438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619900438 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A LA ROSA |
| Credential | M.D. |
| Practice Address |
15 Park Ave Bay Shore NY 11706-7381 |
| Practice Telephone | 6315814400 |
| Practice Fax Number | 6312773750 |
| Mailing Telephone | 6315814400 |
| Mailing Fax Number | 6312773750 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
167344 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01480831 | 05 | |
| NY | LICENSE | 167344 | 01 |
| Street Address |
15 PARK AVE |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275820961 | Good Samaritan Hospital Medical Center | Clinic/Center | 15 Park Ave, Bay Shore, NY 11706-7381 | 2011-07-01 |
| 1285868471 | Tina Joseph | Surgery | 15 Park Ave, Bay Shore, NY 11706 | 2009-05-04 |
| 1740467737 | Frederick B Achildiev | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2008-01-22 |
| 1891701975 | John R Tomasula | Transplant Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-31 |
| 1104859925 | Bradley David Cohen | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-07 |
| 1134158793 | Terry Palatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
| 1457380024 | Manal Hegazy | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
| 1871539205 | Scott Christopher Wodicka | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-22 |
| 1821037698 | Alexander Melman | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-06 |
| 1639116759 | Island Surgical & Vascular Group, P.C. | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366686255 | Pallavi Buddhadev Manvar-singh | Surgery | 250 E Main St, Vascular Surgery, Bay Shore, NY 11706 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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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.