1518281070 NPI number — NEIL S. ROSENTHAL, M.D., P.C.

Table of content: (NPI 1518281070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518281070 NPI number — NEIL S. ROSENTHAL, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEIL S. ROSENTHAL, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518281070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 E 15TH ST
Provider Second Line Business Mailing Address:
SUITE DR1
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10003-3723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-260-5060
Provider Business Mailing Address Fax Number:
212-260-5090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 E 15TH ST
Provider Second Line Business Practice Location Address:
SUITE DR1
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-3723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-260-5060
Provider Business Practice Location Address Fax Number:
212-260-5090
Provider Enumeration Date:
03/26/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROSENTHAL
Authorized Official First Name:
NEIL
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
NEUROLOGIST
Authorized Official Telephone Number:
212-260-5060

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0754432002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 96D631 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0C0447 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: NS2304 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27948P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 498567 . This is a "AETNA/ US HEALTHCARE" identifier . This identifiers is of the category "OTHER".