Abby Rachel Rosenberg Johnson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2023037139 Issued in MO

Practice address

8000 Maryland Ave Ste 760
Clayton, MO 63105-3752

Phone

(314) 474-0114

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abby Rachel Rosenberg Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Louis Dermatology Center LLC

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1437667920
  Medicare reassignment

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1033672662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MARYLAND AVE STE 760",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053752",
            "telephone_number": "314-474-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MARYLAND AVE STE 760",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053752",
            "telephone_number": "314-474-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Olive St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083604",
            "country_code": "US",
            "telephone_number": "314-289-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABBY",
        "middle_name": "RACHEL ROSENBERG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2023037139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "ROSENBERG",
            "middle_name": "RACHEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Marion Jarrett, DDS
• Jbi Transport LLC
• Nathaniel Jenkins Jr., LPC, NBCC
• Jerome M Aronberg Inc
• Jessica Rosenberg LLC
• Cynthia Yvonne Johnson, REGISTERED NURSE
• Eldon L Jones
• Sharice Nicole Jones
• Ta'Nia M Jordan, PLPC
• Marianna Kania, NONE

• Dermatology Physician in Clayton, MO
• Providers in Clayton, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.