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JOHN DAVID ROSE D.O.
NPI 1720376973
Internal Medicine in Southampton, NY

Active since July 20, 2011PECOS Enrolled
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8200 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John David Rose D.o. NPPES

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

JOHN DAVID ROSE D.O. (NPI 1720376973) is an individual internal medicine provider in Southampton, New York, licensed in New York (279893) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720376973
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN DAVID ROSECredential: D.O.
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing AddressPo Box 1484Southampton, NY 11969-1484 · (631) 726-8200
Phone(631) 726-8200
Sole ProprietorNo
Enumeration DateJuly 20, 2011
Last NPPES UpdateJune 1, 2015
✔ NPI 1720376973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 279893
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
240 MEETING HOUSE LN, Southampton, NY 11968
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John David Rose D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

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 John Rose's NPI number?

The NPI number for John Rose is 1720376973. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is John Rose located?

John Rose practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8200.

What is John Rose's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Rose enrolled in Medicare?

Yes. John Rose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Rose was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.