DR. JARED MATTHEW ROSENSTOCK (NPI# 1669889119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669889119 |
| Entity Type | Individual |
| Full Name | DR. JARED MATTHEW ROSENSTOCK |
| Credential | MD, DMD |
| Practice Address |
225 Broadway New York NY 10007-3001 |
| Mailing Address |
1438 3rd Ave Apt 9a New York NY 10028-1963 |
| Practice Telephone | 2127327400 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
060116 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1438 3rd Ave Apt 9a, New York, NY 100281963 | 2154107354 |
| Street Address |
225 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10007-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201759 | Paul I Cohen Jr. | Dentist | 225 Broadway, New York, NY 10007-3001 | 2005-11-02 |
| 1487298428 | Nadezhda Kuprian | Psychologist | 225 Broadway, New York, NY 10007-3001 | 2019-11-02 |
| 1467916569 | Leslie Azran | Dentist | 225 Broadway, New York, NY 10007 | 2019-01-23 |
| 1891223061 | Adam Siroky | Social Worker | 225 Broadway, New York, NY 10007-3001 | 2017-05-31 |
| 1467993642 | Kevin Bona | Specialist/Technologist | 225 Broadway, New York, NY 10007-3001 | 2017-03-20 |
| 1053856088 | Diana Fosha | Psychologist | 225 Broadway, Suite 3400, New York, NY 10007-3001 | 2016-12-29 |
| 1174067391 | Arthur Sardini Iv | Specialist/Technologist | 225 Broadway, Suit 2120, New York, NY 10007-3001 | 2016-12-07 |
| 1043753080 | Danielle Verbel | Physical Therapist | 225 Broadway, Suite 2120, New York, NY 10007-3001 | 2016-11-23 |
| 1982155214 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 225 Broadway, Suite 2120, New York, NY 10007-3001 | 2016-10-21 |
| 1801341573 | Jonathan Kim | Physical Therapist | 225 Broadway, Suite 2120, New York, NY 10007-3001 | 2016-08-23 |
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| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1114434842 | Sangyoon Kim | Physical Therapist | 30 Vesey St Rm 1803, New York, NY 10007 | 2018-01-03 |
| 1194241992 | Murray Health Supplies | Durable Medical Equipment & Medical Supplies | 14 Murray St., #127, New York, NY 10007 | 2017-08-15 |
| 1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
| 1255786331 | Park Place Podiatry Pllc | Podiatrist | 291 Broadway Ste 810, New York, NY 10007 | 2016-04-26 |
| 1801277629 | City Medical of Upper East Side, Pllc | Clinic/Center | 87 Chambers Street, New York, NY 10007 | 2015-06-17 |
| 1760723191 | Mekhla Varma | Pediatrics | 15 Warren St, New York, NY 10007 | 2013-03-11 |
| 1023368545 | Karen Leung | Nurse Practitioner | 281 Broadway Fl 2, New York, NY 10007 | 2012-09-12 |
| 1275808669 | Mcc-ny | Clinic/Center | 150 Park Row, Nyc, NY 10007 | 2012-03-19 |
| 1235447509 | Cara Lauren Goldberg | Speech-Language Pathologist | 49-51 Chambers Street, 6th Floor, New York, NY 10007 | 2010-09-20 |
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| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
| 1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
| 1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
| 1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
| 1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
| 1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
| 1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
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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.