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Dr. Amanda Perez Rosen , DDS

Dentist - General Practice β€’ Flushing, NY

Active NPI 1033807516 Individual Practitioner Female Practitioner
Practice location in NPPES

20103 Northern Blvd Fl 1
Flushing, NY 113612563

Call 3474720318 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20103 Northern Blvd Fl 1

Flushing, NY 113612563

Telephone 3474720318
Organization at the Same NPPES Address or Phone
Avalon Dental, Pc Facility NPI 1679182919

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Flushing and New York

178 active clinicians are listed under Dentist - General Practice with a practice address in Flushing, NY (7,833 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Flushing

0% of these 178 clinicians have the CMS telehealth indicator.

0% of these 178 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NY 064163

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 18, 2025

Registered at 20103 NORTHERN BLVD FL 1, FLUSHING, NY 113612563 (Tel: 3474720318)

πŸ“
Updated Business Mailing Address January 18, 2025

Registered at 20103 NORTHERN BLVD FL 1, FLUSHING, NY 113612563 (Tel: 3474720318)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2025

Dentist (license number reported to NPPES: NY 064163)

βœ…
NPI Profile Active April 24, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 24, 2023

Registered at 8268 164TH ST, JAMAICA, NY 114321121 (Tel: 7188834046)

πŸ“
Business Mailing Address (Initial Record) April 24, 2023

Registered at 8268 164TH ST DEPT OF, JAMAICA, NY 114321121 (Tel: 7188834046)

πŸ‘€
Provider Name / Credentials (Initial Record) April 24, 2023

Recorded as AMANDA ROSEN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 24, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033807516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: January 18, 2025
Sole Proprietor: No

Other Dentist - General Practices in Flushing

Healthcare providers in Flushing

Mailing Address

20103 Northern Blvd Fl 1

Flushing, NY 113612563

Phone: 3474720318

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.