N.Y. ROSEDALE MEDICAL P.C
NPI 1477812907
General Practice in Brooklyn, NY

Active since May 03, 2012
121 GRAHAM AVE, BROOKLYN, NY 11206(718) 963-0073(718) 963-0277 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About N.y. Rosedale Medical P.c NPPES

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

N.Y. ROSEDALE MEDICAL P.C (NPI 1477812907) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since May 2012. The organization lists Jean R Dupoux, President, as its authorized official.

NPPES Registry Identity

NPI1477812907
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameN.Y. ROSEDALE MEDICAL P.C
Location Address121 GRAHAM AVEBrooklyn, NY 11206-2609
Mailing Address121 Graham AveBrooklyn, NY 11206-2609 · (718) 963-0073 · Fax (718) 963-0277
Fax(718) 963-0277
Organization SubpartNo
Authorized OfficialJean R DupouxPresident · (718) 963-0073
Enumeration DateMay 3, 2012
NPI 1477812907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
121 GRAHAM AVE, Brooklyn, NY 11206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

General Practice
121 GRAHAM AVE
BROOKLYN, NY 11206
Internal Medicine
121 GRAHAM AVE
BROOKLYN, NY 11206
General Practice
121 GRAHAM AVE
BROOKLYN, NY 11206
Family Medicine
121 GRAHAM AVE
BROOKLYN, NY 11206
General Practice
121 GRAHAM AVE
BROOKLYN, NY 11206
Family Medicine (Adult Medicine)
121 GRAHAM AVE
BROOKLYN, NY 11206
Internal Medicine
121 GRAHAM AVE
BROOKLYN, NY 11206

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 N.Y. Rosedale Medical P.C's NPI number?

The NPI number for N.Y. Rosedale Medical P.C is 1477812907. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is N.Y. Rosedale Medical P.C located?

N.Y. Rosedale Medical P.C is located at 121 Graham Ave, Brooklyn, NY 11206. The listed phone number is (718) 963-0073.

What is N.Y. Rosedale Medical P.C's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for N.Y. Rosedale Medical P.C was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.