Active NPI
Roland Jerzy Losos, MD
- Geriatric Medicine (Internal Medicine) Physician
- Lyndhurst, NJ
National Provider Identifier
1124282033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD12634
- Practice address
- 155 Park Ave
Suite 206
Lyndhurst, NJ 07071-1462 - Phone
- (201) 933-4700
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD12634 | RI | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA08993900 | NJ |
Addresses
Primary practice location
155 Park Ave
Suite 206
Lyndhurst, NJ 07071-1462
Mailing address
155 Park Ave
Lyndhurst, NJ 07071-1462
Phone (201) 933-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000112 | NJ | Practitioner - Geriatric Medicine | 0446311070 | Practice locations: Lyndhurst, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
155 Park Ave
Suite 206
Lyndhurst, NJ 07071-1462
Phone (201) 933-4700
Hospital & facility affiliations
- Amedisys Home Health
- Hackensack University Medical Center
- Clara Maass Medical Center
- Atlas Rehabilitation and Healthcare at Daughters O
- Alaris Health at Cedar Grove
- Complete Care at Chestnut Hill LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Clara Maass Medical Center | Past | Accepting new patients | |
| Diagnostic Ultrasound Plus Inc | Past | Accepting new patients |
Interoperability endpoints
- rlosos229641@epicdirect.rwjbh.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- Other Technician
- Fort Lee, NJ
- NPI 1952471013
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1124282033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PARK AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711462",
"telephone_number": "201-933-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 PARK AVE",
"address_2": "SUITE 206",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711462",
"telephone_number": "201-933-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSOS",
"first_name": "ROLAND",
"middle_name": "JERZY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "RI",
"license": "MD12634",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MA08993900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.