Kenneth M. Rose, M.D., PLLC
NPI 1770711301 · PACE Provider Organization · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth M. Rose, M.D., PLLC is a PACE Provider Organization organization in New York, NY (NPI 1770711301).
Provider details
- NPI number
- 1770711301
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Juanita Butler, Office Manager(212) 888-7773
- License
- 188699-1 (NY)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kenneth M. Rose, M.D., PLLC
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2009-06-22
Frequently asked questions
- What is Kenneth M. Rose, M.D., PLLC's NPI number?
- Kenneth M. Rose, M.D., PLLC's National Provider Identifier (NPI) is 1770711301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth M. Rose, M.D., PLLC?
- Kenneth M. Rose, M.D., PLLC is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Kenneth M. Rose, M.D., PLLC located?
- Kenneth M. Rose, M.D., PLLC's practice location on file with NPPES is 75 Central Park W, New York, NY 10023-6011.
- What is Kenneth M. Rose, M.D., PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth M. Rose, M.D., PLLC is (212) 888-7773.
- Does Kenneth M. Rose, M.D., PLLC accept Medicare?
- Kenneth M. Rose, M.D., PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth M. Rose, M.D., PLLC?
- The authorized official listed on Kenneth M. Rose, M.D., PLLC's NPPES record is Juanita Butler, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth M. Rose, M.D., PLLC's NPI active?
- Yes — Kenneth M. Rose, M.D., PLLC's NPI (1770711301) is active in the NPPES registry as of the last update on 2009-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.