Individual provider Active NPI

Mark A Rosen, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1124064175
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MN068463L Issued in PA
Practice address
3400 Spruce St
Ground Floor Dulles
Philadelphia, PA 19104
Phone
(215) 662-3005
Fax
(215) 662-7011
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MN068463L PA Primary

Addresses

Primary practice location

3400 Spruce St
Ground Floor Dulles
Philadelphia, PA 19104

Mailing address

3400 Spruce St
Ground Floor Dulles
Philadelphia, PA 19104-4206

Other identifiers 1

IdentifierTypeStateIssuer
0017985000003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20040311001180 PA Practitioner - Diagnostic Radiology 8426947177 Reassigns benefits to 1 organization
I20161129001014 NJ Practitioner - Diagnostic Radiology 8426947177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 686-8282

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 615-5858

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN068463LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Diagnostic Radiology CurrentSince Oct 17, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 17, 2016 Accepting new patients
University of Penn - Medical Group CurrentSince May 1, 2015 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations (25 of 27)

1865 Route 70 E
Ste 130
Cherry Hill, NJ 08003
Phone (856) 433-2535

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

235 S 33rd St
Philadelphia, PA 19104
Phone (215) 615-4400

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

3737 Market St
Fl 7
Philadelphia, PA 19104

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3400 Spruce St
#588
Philadelphia, PA 19104
Phone (800) 998-4505

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

145 King of Prussia Rd
Ste 111
Radnor, PA 19087
Phone (610) 902-1800

250 King of Prussia Rd
Ste 3
Radnor, PA 19087
Phone (610) 902-1800

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1124064175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "GROUND FLOOR DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "GROUND FLOOR DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-3005",
            "fax_number": "215-662-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MN068463L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017985000003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.