Active NPI
Regina Mary Ubaldi-Rosen, MSN/CRNP
- Family Nurse Practitioner
- Aston, PA
National Provider Identifier
1073550968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP003371B
- Practice address
- 2901 Dutton Mill Rd
Aston, PA 19014-2849 - Phone
- (610) 485-6700
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP003371B | PA | Primary |
Addresses
Primary practice location
2901 Dutton Mill Rd
Aston, PA 19014-2849
Mailing address
28 Lea Dr
Chadds Ford, PA 19317-8983
Phone (610) 675-7123
Other practice location 1
2304 Edgmont Ave
Chester, PA 19013-5038
Phone (610) 872-9101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Athena |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Care Group | Current | Accepting new patients | |
| AIDS Care Group | Current | Accepting new patients | |
| Ware Medical Associates PC | Past | Accepting new patients |
Locations
2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101
Interoperability endpoints
- regina.ubaldi-rosen.1@13566.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Clinic/Center
- Chester, PA
- NPI 1477592400
-
- Internal Medicine Physician
- Aston, PA
- NPI 1114953668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1073550968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LEA DR",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193178983",
"telephone_number": "610-675-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 DUTTON MILL RD",
"city": "ASTON",
"state": "PA",
"postal_code": "190142849",
"telephone_number": "610-485-6700"
}
],
"practiceLocations": [
{
"address_1": "2304 Edgmont Ave",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190135038",
"country_code": "US",
"telephone_number": "610-872-9101",
"fax_number": "610-872-9103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UBALDI-ROSEN",
"first_name": "REGINA",
"middle_name": "MARY",
"credential": "MSN/CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP003371B",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Athena",
"affiliation": "N",
"address_1": "2901 Dutton Mill Rd",
"city": "Aston",
"state": "PA",
"country_code": "US",
"postal_code": "190142849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.