Forms & Payment
Accepts new patients
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Medical insurance plans and payment options
Oxford Health Plans, Cigna PPO, United PPO, Empire Plan PPO, 1199, GHI, Aetna US Healthcare, Empire Blue Cross PPO, PHS PPO, Guardian PPO, Beech Street PPO, PHCS, Horizon PPO, 32BJ, Blue Choice PPO, Prudential PPO, The Empire Plan, Blue Cross/Blue Shield PPO
For all patients with a co-payment, co-insurance and/or deductible, payment is due at the time of service. If this is the first time you will be seeing Dr. Rosen as a patient, please bring with you your insurance card, driver's license and (if applicable) required referral(s). We gladly accept all forms of payment for your convenience.
For all worker's compensation patients, you are responsible to bring the following information with you at your first work related illness visit: name, address and telephone number of the workers' compensation insurance carrier as well as the person handling your claim, date of accident and claim number.
For all no-fault, you are responsible to bring the following information with you at your motor vehicle related illness visit: name, address and telephone number of the no-fault insurance carrier as well as the person handling your claim, date of accident, name of insured and claim number.
Office information from Jeffrey E. Rosen, M.D.
New Patient Demographics Update Condition/Injury Form
Contact Information
Other staff in my practice
Office Manager - Patricia Li
Administrative Director, NYQMS, PC - Denise M. Lewinger, MBA
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