Eldad Rosenthal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

56303 Issued in MA

Practice address

525 Long Pond Drive
Fontaine Medical Center
Harwich, MA 02645-1227

Phone

(508) 432-4100

Fax

(508) 432-8951

NPI assigned

Aug 3, 2006

Last updated

Jul 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1124036751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATIONS WAY",
            "address_2": "MACC-REVENUE CYCLE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011866",
            "telephone_number": "508-957-8664",
            "fax_number": "508-957-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LONG POND DRIVE",
            "address_2": "FONTAINE MEDICAL CENTER",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451227",
            "telephone_number": "508-432-4100",
            "fax_number": "508-432-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "ELDAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56303",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "56303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019292",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regal Care at Harwich LLC
• Richard a. Weiler, Jr., D.D.S. and Associates, P.C.
• Deborah McGrath Riley, RN
• Robert Malin MD PC (Nauset Testing)
• Mary Romeyn, M.D.
• Rosewood Manor Opco LLC
• Ruth Elaine Rounsley, D.D.S.
• Royal Harwich Village Assisted Living
• Tanya Roza
• Warren King Russell, M.D.

• Internal Medicine Physician in Harwich, MA
• Providers in Harwich, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.