Individual provider Active NPI

Lauren S Rosen, M.D

  • Internal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1205869104
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD071702L Issued in PA
Practice address
306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105
Phone
(484) 476-7255
Fax
(484) 476-7854
NPI assigned
Jul 7, 2006
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD071702L PA Primary

Addresses

Primary practice location

306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105

Mailing address

306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105
Phone (484) 476-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000398 PA Practitioner - Internal Medicine 2062680598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lauren Rosen Wellness LLCGroup PAC ID 3870990526, 4 clinicians

Practice addresses (Care Compare)

551 W Lancaster Ave
Suite 205
Haverford, PA 19041-1419
Phone (610) 276-0098

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Rosen Wellness LLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

551 W Lancaster Ave
Ste 205
Haverford, PA 19041
Phone (610) 276-0098

306 E Lancaster Ave
Ste 300
Wynnewood, PA 19096
Phone (484) 476-7255

Interoperability endpoints

  • Direct secure messaging: lauren.rosen.1@24228.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1205869104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 300",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7255",
            "fax_number": "484-476-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 300",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7255",
            "fax_number": "484-476-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LAUREN",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071702L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.