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

Peter A. Rosa DDS, MD PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1164787636

Peter A. Rosa DDS, MD PC is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1049 5th Ave Ste 1A
New York, NY 10028-0115
Phone: (212) 861-1961
Fax: (212) 861-0561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 252964 (NY)

Record details

NPI number1164787636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Dallmann — Billing Manager · (212) 206-6465
NPI enumeratedJuly 10, 2012
Last updated in NPPESJuly 10, 2012
Mailing address1049 5th Ave, Suite 1a, New York, NY 10028-0115

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