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Physician Compare National (NPI:1568413045)

HEALTHCARE PROVIDER: ROSE-MARIE CARRERA M.D., FACC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1568413045
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0143208108
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040708000049
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CARRERA
Individual professional last name
Provider First Name ROSEMARIE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Individual professional's medical school
Graduation Year 1997
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1833 E 13TH ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1B
Group Practice or individual's line 2 address
City BROOKLYN
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 112292883
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330169
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MOUNT SINAI BETH ISRAEL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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