Individual provider Active NPI

Theodore Joseph Rosenberg, OD

  • Optometrist
  • Flemington, NJ
National Provider Identifier
1043245103
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00373100 Issued in NJ
Practice address
315 US Highway 202
Flemington, NJ 08822-1700
Phone
(908) 788-5777
Fax
(908) 788-6748
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00373100 NJ Primary

Addresses

Primary practice location

315 US Highway 202
Flemington, NJ 08822-1700

Mailing address

520 Winchester Dr
Yardley, PA 19067-4445
Phone (215) 321-0491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00373100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flemington Eye Care, Inc. Optometrist PastSince Jan 12, 2020 Accepting new patients
Plainfield Eye Associates PA Optometrist PastSince Mar 16, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1043245103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WINCHESTER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674445",
            "telephone_number": "215-321-0491",
            "fax_number": "215-321-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 US HIGHWAY 202",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221700",
            "telephone_number": "908-788-5777",
            "fax_number": "908-788-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00373100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.