Individual provider Active NPI

Leon I Rosenberg, M.D.

  • Psychiatry Physician
  • Cherry Hill, NJ
National Provider Identifier
1215941000
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA04236100 Issued in NJ
Practice address
1 Utah Ave
Cherry Hill, NJ 08002-3008
Phone
(856) 857-9500
Fax
(856) 857-9120
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 25MA04236100 NJ
Psychiatry Physician 2084P0800X 25MA04236100 NJ Primary

Addresses

Primary practice location

1 Utah Ave
Cherry Hill, NJ 08002-3008

Mailing address

1 Utah Ave
Cherry Hill, NJ 08002-3008
Phone (856) 857-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000974 NJ Practitioner - Psychiatry 2264435726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Utah Ave
Cherry Hill, NJ 08002-3008
Phone 856857950012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04236100NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Emotional Fitness Professional CurrentSince May 11, 1993 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leon.rosenberg@centerforemotionalfitness.chartmakerdirect.com

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1215941000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UTAH AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023008",
            "telephone_number": "856-857-9500",
            "fax_number": "856-857-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UTAH AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023008",
            "telephone_number": "856-857-9500",
            "fax_number": "856-857-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LEON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "25MA04236100",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04236100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.