Provider Demographics
NPI:1497075444
Name:THE ROGOSIN INSTITUTE, INC.
Entity Type:Organization
Organization Name:THE ROGOSIN INSTITUTE, INC.
Other - Org Name:ROGOSIN KIDNEY CENTER - AUBURNDALE
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZWEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-644-9213
Mailing Address - Street 1:3920 UTOPIA PKWY
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2322
Mailing Address - Country:US
Mailing Address - Phone:718-222-2531
Mailing Address - Fax:
Practice Address - Street 1:3920 UTOPIA PKWY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2322
Practice Address - Country:US
Practice Address - Phone:718-222-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332680261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY332680Medicare Oscar/Certification