Individual provider Active NPI

Rosalia Hyatt, MD

  • Obstetrics & Gynecology Physician
  • Media, PA
National Provider Identifier
1215019096
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD042634L Issued in PA
Practice address
1098 W Baltimore Pike
Suite 3106 Riddle HLTH Ctr 3
Media, PA 19063-5139
Phone
(610) 891-6240
Fax
(610) 891-6244
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD042634L PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3106 Riddle HLTH Ctr 3
Media, PA 19063-5139

Mailing address

1098 W Baltimore Pike
Suite 3106 Riddle HLTH Ctr 3
Media, PA 19063-5139
Phone (610) 891-6240

Other identifiers 1

IdentifierTypeStateIssuer
23-2359401OtherPAMLHC TAX ID #

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jul 1, 2021 Accepting new patients
Camcare Health Corporation CurrentSince May 27, 2020 Accepting new patients
Camcare Health Corporation CurrentSince May 27, 2020 Accepting new patients
Camcare Health Corporation Current Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jul 1, 2021 Accepting new patients
Lakewood Resource and Referral Center Inc CurrentSince Dec 1, 2019 Accepting new patients
Main Line Healthcare Obstetrics & Gynecology PastSince Jul 1, 2008 Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

130 Mickle Blvd
Camden, NJ 08103
Phone (609) 541-8217

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • Direct secure messaging: rosalia.hyattmd.p1@direct.nhscnj.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1215019096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3106 RIDDLE HLTH CTR 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-6240",
            "fax_number": "610-891-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3106 RIDDLE HLTH CTR 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-6240",
            "fax_number": "610-891-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "ROSALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD042634L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLHC TAX ID #",
            "identifier": "23-2359401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.