KENNETH M. ROSE, M.D., PLLC (NPI# 1770711301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770711301 |
| Entity Type | Organization |
| Organization Name | KENNETH M. ROSE, M.D., PLLC |
| Other Organization Name | KENNETH M. ROSE, M.D., PLLC |
| Practice Address |
75 Central Park W New York NY 10023-6011 |
| Practice Telephone | 2128887773 |
| Practice Fax Number | 2124217030 |
| Mailing Telephone | 2128887773 |
| Mailing Fax Number | 2124217930 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | MS. JUANITA BUTLER (OFFICE MANAGER) |
| Authorized Official Telephone | 2128887773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | 188699-1 | NY | Agencies |
| Other Name | Type Code |
|---|---|
| Kenneth M. Rose, M.D., PLLC | Doing Business As Name - Organization |
| Street Address |
75 CENTRAL PARK W |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639229925 | Elizabeth A. Almeyda | Surgery | 75 Central Park W, New York, NY 10023-6011 | 2007-01-11 |
| 1760022339 | Lynx Ipa LLC | Health Maintenance Organization | 75 Central Park W, New York, NY 10023-6055 | 2020-01-13 |
| 1639552144 | Park West Surgical Group LLC | Plastic Surgery | 75 Central Park W, New York, NY 10023-6055 | 2015-07-01 |
| 1346672870 | Scott J Zevon | Plastic Surgery | 75 Central Park W, New York, NY 10023-6055 | 2013-08-07 |
| 1710033584 | Kenneth M Rose Sr. | Plastic Surgery | 75 Central Park W, New York, NY 10023-6011 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801217575 | Thomas G Coyle | PACE Provider Organization | 375 S End Ave, Apartment 25 U, New York, NY 10280-1014 | 2013-12-26 |
| 1821408741 | Jewish Board of Family and Children's Services | PACE Provider Organization | 135 W 50th St, # 6, New York, NY 10020-1201 | 2014-04-30 |
| 1992070056 | Nickjax LLC | PACE Provider Organization | 115 E 82nd St, 1b, New York, NY 10028-0831 | 2012-03-21 |
| 1861770547 | Selfhelp Alzheimers Resource Program | PACE Provider Organization | 520 Eighth Avenue, New York, NY 10018-6553 | 2011-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833993 | Evergreen Senior Daycare Center Inc | PACE Provider Organization | 5815 6th Ave, Brooklyn, NY 11220-3808 | 2019-10-22 |
| 1013402155 | Dqm Medical PC | PACE Provider Organization | 829 57th St Fl 5, Brooklyn, NY 11220-3677 | 2018-06-29 |
| 1912408477 | Medicine Horse Farm Corp | PACE Provider Organization | 38 Lizzies Lane, Morrisonville, NY 12962 | 2018-02-21 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1497276588 | Evergreen Senior Daycare Center | PACE Provider Organization | 949 59th St, Brooklyn, NY 11219-4810 | 2017-06-29 |
| 1295279651 | Amherst Meals On Wheels, Inc. | PACE Provider Organization | 370 John James Audubon Pkwy, Amherst, NY 14228-1142 | 2016-12-05 |
| 1710432638 | Achieve Beyond | PACE Provider Organization | 1394 Prospect Ave Apt 1fl, Bronx, NY 10459-1405 | 2016-08-21 |
| 1164731402 | Adler Special Care Inc | PACE Provider Organization | 138-18 228 Street, Laurelton, NY 11413 | 2010-10-05 |
| 1922332725 | Helping Hands Consultation Services Inc | PACE Provider Organization | 3 Harbor Rd, Suite 30, Cold Spring Harbor, NY 11724-1514 | 2009-09-25 |
| 1447410451 | Total Senior Care Inc | PACE Provider Organization | 1225 West State St, Olean, NY 14760-2135 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
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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.