Laura Epstein Rosen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4163 Issued in NJ

Practice address

1 Prospect St Ste 6
Ridgewood, NJ 07450-4421

Phone

(201) 445-2929

Fax

(201) 689-7323

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093863623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 HILLCREST RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501109",
            "telephone_number": "201-445-2929",
            "fax_number": "201-689-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST STE 6",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504421",
            "telephone_number": "201-445-2929",
            "fax_number": "201-689-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LAURA",
        "middle_name": "EPSTEIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4163",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald G. Cally, M.D., LLC
• Lauren Rosato, OD
• Shaira Rose, D.P.T., C.H.T.
• Shivaz Rose, DPT
• Jed Y Rosen, M.S.W., L.C.S.W.
• Ilana Schlein Rosenberg, PHD
• Kayla Rosenberg
• David N Rosenfeld, M.D.
• Lloyd Ross, PH.D.
• Marissa Ross, MA, EDS, LAC

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.