Individual provider Active NPI

Gene S Rosenberg, M.D.

  • Urology Physician
  • Hackensack, NJ
National Provider Identifier
1093716219
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA03648000 Issued in NJ
Practice address
20 Prospect Ave
Suite 915
Hackensack, NJ 07601-1997
Phone
(201) 343-0082
Fax
(201) 488-1203
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA03648000 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 915
Hackensack, NJ 07601-1997

Mailing address

20 Prospect Ave
Suite 915
Hackensack, NJ 07601-1997
Phone (201) 343-0082

Other identifiers 11

IdentifierTypeStateIssuer
01000052800OtherNJAMERICHOICE #
5S1651OtherNJBCBS NY CARLSTADT
0107212000OtherNJAMERIHEALTH HMO ID #
21A961OtherNJBC/BS NY (HACKENSACK) #
3055507MedicaidNJ
4093305OtherNJAETNA PPO ID #
0049819OtherNJAETNA HMO ID #
BS025OtherNJOXFORD ID #
1099931OtherNJGHI PPO ID #
340010235OtherNJRAILROAD MDCR #
4819209MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grosenberg10060@njurology.direct-ci.com New Jersey Urology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040629000761 NJ Practitioner - Urology 2769468719 Reassigns benefits to 1 organization
I20220106001233 NY Practitioner - Urology 2769468719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03648000NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology PA Urology Current Accepting new patients
Shakespeare Operating LLC CurrentSince Sep 1, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Nov 1, 2021 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Nov 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Apr 1, 2010 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 743-3105

630 Broad St
Ste 302
Carlstadt, NJ 07072
Phone (201) 460-8600

20 Prospect Ave
Ste 719
Hackensack, NJ 07601
Phone (201) 343-0082

20 Prospect Ave
Ste 915
Hackensack, NJ 07601
Phone (201) 343-0082

2015 Grand Concourse
#13202
Bronx, NY 10453

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: grosenberg@nj-urology.gwaydirect.com
  • Direct secure messaging: gene.rosenberg@ema.eclinicaldirectplus.com
  • Direct secure messaging: grosenberg10060@njurology.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1093716219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 915",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-343-0082",
            "fax_number": "201-488-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 915",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-343-0082",
            "fax_number": "201-488-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GENE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03648000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE #",
            "identifier": "01000052800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NY CARLSTADT",
            "identifier": "5S1651",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO ID #",
            "identifier": "0107212000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NY (HACKENSACK) #",
            "identifier": "21A961",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO ID #",
            "identifier": "4093305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID #",
            "identifier": "0049819",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "BS025",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO ID #",
            "identifier": "1099931",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "340010235",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4819209",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grosenberg10060@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.