Jerrold N Rosenberg.MD Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

RI07222 Issued in RI

Legal business name

JERROLD N ROSENBERG.MD INC

Practice address

827 N Main St
Suite 6
Providence, RI 02904-5751

Phone

(401) 453-5030

Fax

(401) 453-5033

NPI assigned

Oct 11, 2007

Organization subpart

Yes

Parent organization

JERROLD N ROSENBERG.MD INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerrold N Rosenberg, M.D.

Title

President

Phone

(401) 453-5030

Specialties & licenses 1

Addresses

Part of

Jerrold Rosenberg MD

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A St. Dennis, PA

  • Physician Assistant
  • Coventry, RI
  • NPI 1306879242
  NPD (past)
• Alexandra Lee Fandetti-Robin, D.C.

  • Chiropractor
  • Dayville, CT
  • NPI 1700115466
  NPD (past)
• Stevan Simon, PT

  • Physical Therapist
  • East Boston, MA
  • NPI 1427274240
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1003004466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045751",
            "telephone_number": "401-453-5030",
            "fax_number": "401-453-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045751",
            "telephone_number": "401-453-5030",
            "fax_number": "401-453-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD N ROSENBERG.MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERROLD N ROSENBERG.MD INC",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-453-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "RI07222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneil S Jennings, LICSW
• Ilse Jenouri, MD
• Carol J. Jensen, PH.D.
• Fred R Jensen, PTA
• Kely Cristina Jeronimo, P.A
• Devon Jervis
• Jessica Clayburgh MSPT LLC
• Hannah Grace Jester, RN
• Jennifer Jette
• Jewish Collaborative Services

• Physical Medicine & Rehabilitation Physician in Providence, RI
• Providers in Providence, RI by specialty
• Physical Medicine & Rehabilitation Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.