Provider Demographics
NPI:1144224502
Name:ROSIN, DEBORAH F (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:F
Last Name:ROSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:485 ROUTE 1 SOUTH
Practice Address - Street 2:SUITE 350
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830
Practice Address - Country:US
Practice Address - Phone:732-549-3934
Practice Address - Fax:732-549-7250
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA060612174400000X
NJ25MA06061200207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1254357OtherUNITED HEALTHCARE
0954673OtherAETNA
LS355OtherOXFORD
598151OtherAMERIHEALTH
0699932OtherGHI
OK4424OtherHEALTHNET
1092280003OtherCIGNA
223561248OtherHORIZON BCBS
223561248001OtherQUALCARE
598151OtherAMERIHEALTH
NJ069015Medicare ID - Type Unspecified