Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth M. Rose, MD, PLLC

Organization PACE Provider Organization · NPI 1770711301

Kenneth M. Rose, MD, PLLC is a PACE Provider Organization in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

75 Central Park W
New York, NY 10023-6011
Phone: (212) 888-7773
Fax: (212) 421-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X · Licence 188699-1 (NY)

Record details

NPI number1770711301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juanita Butler — Office Manager · (212) 888-7773
Other names Kenneth M. Rose, M.D., Pllc
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 22, 2009
Mailing address75 Central Park W, New York, NY 10023-6011

Other providers in New York