Individual provider Active NPI

Regina Mary Ubaldi-Rosen, MSN/CRNP

  • Family Nurse Practitioner
  • Aston, PA
National Provider Identifier
1073550968
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP003371B Issued in PA
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

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000228 PA Practitioner - Nurse Practitioner 9436062106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Care Group CurrentSince May 7, 2012 Accepting new patients
AIDS Care Group CurrentSince May 7, 2012 Accepting new patients
Ware Medical Associates PC Past Accepting new patients

Locations

2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.