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KENNETH M. ROSE, M.D., PLLC
NPI 1770711301
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in New York, NY

Active since June 22, 2009
75 CENTRAL PARK W, NEW YORK, NY 10023(212) 888-7773(212) 421-7030 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth M. Rose, M.d., Pllc NPPES

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

KENNETH M. ROSE, M.D., PLLC (NPI 1770711301) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in New York, New York and active in the NPI registry since June 2009. The organization lists Juanita Butler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770711301
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameKENNETH M. ROSE, M.D., PLLC
Location Address75 CENTRAL PARK WNew York, NY 10023-6011
Mailing Address75 Central Park WNew York, NY 10023-6011 · (212) 888-7773 · Fax (212) 421-7930
Phone(212) 888-7773
Fax(212) 421-7030
Organization SubpartNo
Authorized OfficialJuanita ButlerOffice Manager · (212) 888-7773
Enumeration DateJune 22, 2009
✔ NPI 1770711301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in NY · 188699-1
Definition
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.
75 CENTRAL PARK W, New York, NY 10023
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Other Names 1

Doing Business AsKenneth M. Rose, M.d., Pllc

Other Identifiers 1

Medicare PIN29L061NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth M. Rose, M.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth M. Rose, M.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Rose, MD
Plastic and Reconstructive Surgery
NPI 1710033584
75 CENTRAL PARK W
New York, NY 10023
(212) 888-7773
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenneth M. Rose, M.D., PLLC's NPI number?

The NPI number for Kenneth M. Rose, M.D., PLLC is 1770711301. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Kenneth M. Rose, M.D., PLLC located?

Kenneth M. Rose, M.D., PLLC is located at 75 Central Park W, New York, NY 10023. The listed phone number is (212) 888-7773.

What is Kenneth M. Rose, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Is Kenneth M. Rose, M.D., PLLC enrolled in Medicare?

Yes. Kenneth M. Rose, M.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth M. Rose, M.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Kenneth M. Rose, M.D., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth M. Rose, M.D., PLLC was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.