Individual provider Active NPI

Jessica Lynn Rosner, D.C.

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1194021329
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3374 Issued in MA
Practice address
605 Hancock St
Quincy, MA 02170-1952
Phone
(617) 328-6300
Fax
(617) 328-7780
NPI assigned
Feb 5, 2011
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3374 MA Primary

Addresses

Primary practice location

605 Hancock St
Quincy, MA 02170-1952

Mailing address

605 Hancock St
Quincy, MA 02170-1952
Phone (617) 328-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000540 MA Practitioner - Chiropractic 5698939981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weymouth Chiropractic and Wellness Center LLCGroup PAC ID 1153661186, 3 clinicians

Practice addresses (Care Compare)

1221 Main St
Suite 302
Weymouth, MA 02190-1562
Phone (781) 386-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3374MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weymouth Chiropractic and Wellness Center LLC Chiropractor CurrentSince Jul 16, 2021 Accepting new patients
Wholebody Solutions, Inc PastSince Apr 10, 2012 Accepting new patients

Locations

1221 Main St
Ste 302
Weymouth, MA 02190
Phone (781) 331-9300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1194021329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701952",
            "telephone_number": "617-328-6300",
            "fax_number": "617-328-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701952",
            "telephone_number": "617-328-6300",
            "fax_number": "617-328-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-05",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.