Individual provider Active NPI

Jill Pariser Rosenberg, AUD

  • Audiologist
  • Belmont, MA
National Provider Identifier
1063760155
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
987 Issued in MA
Practice address
90 Concord Ave Ste 4
Belmont, MA 02478-4049
Phone
(617) 484-8700
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 987 MA Primary

Addresses

Primary practice location

90 Concord Ave Ste 4
Belmont, MA 02478-4049

Mailing address

90 Concord Ave Ste 4
Belmont, MA 02478-4049
Phone (617) 484-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180216000568 MA Practitioner - Qualified Audiologist 6204196066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenberg Audiology IncGroup PAC ID 9335493329, 4 clinicians

Practice addresses (Care Compare)

90 Concord Ave
Suite 4
Belmont, MA 02478-4049
Phone (617) 484-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
987MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenberg Audiology Inc. CurrentSince Apr 19, 2018 Accepting new patients
Audiology Services Inc Audiologist PastSince Oct 8, 2018 Accepting new patients

Locations

90 Concord Ave
Ste 4
Belmont, MA 02478
Phone (617) 484-8700

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1063760155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE STE 4",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784049",
            "telephone_number": "617-484-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE STE 4",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784049",
            "telephone_number": "617-484-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JILL",
        "middle_name": "PARISER",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.