DR. PETER A ROSA MD DDS NPI 1861675233

NPI Information

  • NPI: 1861675233
  • Provider Name: DR. PETER A ROSA, MD, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3304 BELL BLVD
    BAYSIDE, NY
    ZIP 11361
  • Phone: (718) 428-8900

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NPI Details

DR. Peter A Rosa, MD, DDS is an oral and maxillofacial surgery dentist in Bayside, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Peter A Rosa, MD, DDS NPI is 1861675233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3304 BELL BLVD
BAYSIDE, NY
ZIP 11361-603
Phone: (718) 428-8900

The NPI 1861675233 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2007 and was last updated on 10/14/2011.

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
1204E00000XOral & Maxillofacial Surgery252694NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery050684NEW YORKYes

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

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