Active NPI
Svetlana Rozenberg, PA
- Physician Assistant
- Newark, NJ
National Provider Identifier
1255513842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00096300
- Practice address
- 375 McCarter Hwy
Newark, NJ 07114-2562 - Phone
- (973) 643-4969
- Fax
- (973) 643-3657
- NPI assigned
- Dec 5, 2007
- Last updated
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00096300 | NJ | Primary |
Addresses
Primary practice location
375 McCarter Hwy
Newark, NJ 07114-2562
Mailing address
375 McCarter Hwy
Newark, NJ 07114-2562
Phone (973) 643-8601
Other names 1
- Svetlana Rozenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00096300 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Healthworks Medical Group of New Jersey, PC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1255513842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MCCARTER HWY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071142562",
"telephone_number": "973-643-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 MCCARTER HWY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071142562",
"telephone_number": "973-643-4969",
"fax_number": "973-643-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENBERG",
"first_name": "SVETLANA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00096300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SVETLANA",
"last_name": "ROZENBERG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.