Individual provider Active NPI

Neil L Rosen, D.O.

  • Family Medicine Physician
  • Shrewsbury, NJ
National Provider Identifier
1205863040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02592200 Issued in NJ
Practice address
555 Shrewsbury Ave
Shrewsbury, NJ 07702-4165
Phone
(732) 219-0894
Fax
(732) 219-0896
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB02592200 NJ Primary

Addresses

Primary practice location

555 Shrewsbury Ave
Shrewsbury, NJ 07702-4165

Mailing address

555 Shrewsbury Ave
Shrewsbury, NJ 07702-4165
Phone (732) 219-0894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 24, 2015 through Aug 24, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB02592200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Center PC Family Medicine PastSince Sep 11, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205863040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024165",
            "telephone_number": "732-219-0894",
            "fax_number": "732-219-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024165",
            "telephone_number": "732-219-0894",
            "fax_number": "732-219-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "NEIL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02592200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.