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DR. BONNIE SUE ROSEN MD
NPI 1114900925
Radiology - Diagnostic Radiology in Patchogue, NY

Active since November 25, 2005
77 MEDFORD AVE, PATCHOGUE, NY 11772(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bonnie Sue Rosen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BONNIE SUE ROSEN MD (NPI 1114900925) is an individual diagnostic radiology provider in Patchogue, New York, licensed in New York (184808) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1114900925
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BONNIE SUE ROSENCredential: MD
Location Address77 MEDFORD AVEPatchogue, NY 11772-1281
Mailing Address3 Scenic View Ct EastDix Hills, NY 11746 · (516) 901-9993 · Fax (612) 294-4903
Phone(952) 595-1100
Fax(612) 294-4903
Sole ProprietorNo
Enumeration DateNovember 25, 2005
Last NPPES UpdateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1114900925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NY · 184808✔ Licensed in NY · 184808-1
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
77 MEDFORD AVE, Patchogue, NY 11772
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE M BOUSQUET
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
STEPHANIE LAUREN VANSCHAICK DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
SOUTH SHORE NEUROLOGIC ASSOCIATES PC
Clinic/Center (Magnetic Resonance Imaging (MRI))
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 654-5555
MS. LISA MICHELLE HODGE-SCELSA NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
77 MEDFORD AVE, ROUTE 112
PATCHOGUE, NY 11772
Suffolk County (631) 758-4444
JUSTINE HOFFMANN DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
DANIEL STERN DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
MS. LAURA A. BUCK N.P.
Nurse Practitioner (Adult Health)
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
EMMA THERESE SARRETT MS, CCC-SLP
Speech-Language Pathologist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Rosen's NPI number?

The NPI number for Bonnie Rosen is 1114900925. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Bonnie Rosen located?

Bonnie Rosen practices at 77 Medford Ave, Patchogue, NY 11772. The listed phone number is (952) 595-1100.

What is Bonnie Rosen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Bonnie Rosen was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.