Gwenn Rosenberg, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

000486 Issued in CT

Practice address

154 Hempstead St
First Floor
New London, CT 06320

Phone

(860) 650-1030

Fax

(855) 869-4891

NPI assigned

Oct 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gwenn Rosenberg Wildman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwenn.rosenberg.1@32019.direct.athenahealth.com

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.

• New London Natural Health Center

  • Naturopath
  • New London, CT
  • NPI 1538869813
  NPD Authorized official

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1093067019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RIVERVIEW PL",
            "city": "QUAKER HILL",
            "state": "CT",
            "postal_code": "06375",
            "telephone_number": "503-758-1878",
            "fax_number": "855-869-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HEMPSTEAD ST",
            "address_2": "FIRST FLOOR",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-650-1030",
            "fax_number": "855-869-4891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Wildwood Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "CT",
            "postal_code": "06426",
            "country_code": "US",
            "telephone_number": "860-661-4662",
            "fax_number": "860-661-4654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 S Anguilla Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Pawcatuck",
            "state": "CT",
            "postal_code": "063791447",
            "country_code": "US",
            "telephone_number": "860-650-1030",
            "fax_number": "855-869-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GWENN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12446377",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENN",
            "last_name": "ROSENBERG WILDMAN",
            "credential": "ND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Rojas
• Daniel Rolotti, DMD
• Miguel Angel Roman
• Kiersten Rooney
• Melissa M Root, PHD
• Ross J. Sanfilippo, DMD
• Katherine Lang Rotker, M.D.
• Barbara C Rucci, LCSW
• Geraldine S Ruffa, M.D.
• Eleanor Rufleth

• Naturopath in New London, CT
• Providers in New London, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.