Jay Richard Rosan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003063 L Issued in PA

Practice address

1244 Fort Washington Ave
Family Practice of Upper Dublin
Fort Washington, PA 19034

Phone

(215) 237-1800

Fax

(215) 643-6488

NPI assigned

Jan 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1104121037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EVANS ROAD",
            "address_2": "PO BOX 525",
            "city": "GWYNEDD VALLEY",
            "state": "PA",
            "postal_code": "194370525",
            "telephone_number": "215-237-1800",
            "fax_number": "215-643-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "FAMILY PRACTICE OF UPPER DUBLIN",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-237-1800",
            "fax_number": "215-643-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAN",
        "first_name": "JAY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003063 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Roche Roche
• Daniel Rogan, LPC
• Beth Lucy Rogers, DDS
• Hollie Mara Roizman, PSY.D.
• Kathleen Rooney, LPC
• Jenna Courtney Rosenau, LCSW
• David C Rosenthal, D.P.M.
• Berle Ellen Ross, MA
• Victoria Rossi, OTD, OTR/L
• Kara Rose Rothschild-Rode, MS, LPC, ATR-BC

• Family Medicine Physician in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.