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

Q: 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.

Q: 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.

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: August 16, 2026.

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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

Other Providers at the Same Location NPPES 5

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

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