KENNETH M. ROSE M.D. PLLC NPI 1770711301

NPI Information

  • NPI: 1770711301
  • Provider Name: KENNETH M. ROSE, M.D., PLLC
  • Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
  • Entity Type: Organization
  • Doing Business As: KENNETH M. ROSE, M.D., PLLC
  • Address: 75 CENTRAL PARK W
    NEW YORK, NY
    ZIP 10023
  • Phone: (212) 888-7773

Map and Directions

Get Directions

NPI Details

KENNETH M. ROSE, M.D., PLLC is a program of all inclusive care for the elderly pace provider organization in New York, NY. The provider is 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. KENNETH M. ROSE, M.D., PLLC NPI is 1770711301. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenneth M. Rose, M.d., Pllc.

The provider's business location address is:

75 CENTRAL PARK W
NEW YORK, NY
ZIP 10023-011
Phone: (212) 888-7773
Fax: (212) 421-7030

The provider's authorized official is Juanita Butler .
The authorized official title is Office Manager and has the following contact phone number (212) 888-7773.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 6/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization188699-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
129L061MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI