Individual provider Active NPI

Leslie S Rosenthal, M.D.

  • Internal Medicine Physician
  • Ventnor City, NJ
National Provider Identifier
1235149022
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA47847 Issued in NJ
Practice address
7313 Ventnor Ave
Ventnor City, NJ 08406-1958
Phone
(609) 441-2199
NPI assigned
Aug 8, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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 MA47847 NJ Primary

Addresses

Primary practice location

7313 Ventnor Ave
Ventnor City, NJ 08406-1958

Mailing address

7313 Ventnor Avenue
Ventnor, NJ 08406

Other identifiers 1

IdentifierTypeStateIssuer
2230909MedicaidNJ

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
I20050926000080 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4284545740 Reassigns benefits to 1 organization
Practice locations: Pleasantville, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA47847NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jan 1, 2006 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Jan 1, 2006 Accepting new patients
Atlantic Primary Care PC Internal Medicine PastSince Mar 21, 2012 Accepting new patients

Locations

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

7313 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 441-2199

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEGAA

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1235149022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 VENTNOR AVENUE",
            "city": "VENTNOR",
            "state": "NJ",
            "postal_code": "08406",
            "fax_number": "609-822-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061958",
            "telephone_number": "609-441-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA47847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.