Individual provider Active NPI

Jennifer R. Roszkowski, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Willingboro, NJ
National Provider Identifier
1265697528
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
320632 Issued in NJ
Practice address
651 John F Kennedy Way
Cooper University Physicians
Willingboro, NJ 08046-1262
Phone
(609) 835-2838
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS015039 PA
Internal Medicine Physician 207R00000X 25MB09136800 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 320632 NJ Primary

Addresses

Primary practice location

651 John F Kennedy Way
Cooper University Physicians
Willingboro, NJ 08046-1262

Mailing address

900 Medical Center Dr Ste 205
Sewell, NJ 08080-2358
Phone (844) 542-2273

Other practice location 1

900 Medical Center Dr Ste 205
Sewell, NJ 08080-2358
Phone (844) 542-2273

Other identifiers 1

IdentifierTypeStateIssuer
0306134MedicaidNJ

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
I20120820000017 NJ Practitioner - Internal MedicinePractitioner - Sleep Medicine 6901052356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 513-4124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015039PAMDInternal Medicine Physician
320632NJMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group P.C. CurrentSince Dec 3, 2024 Accepting new patients
Robert J Maro MD PA Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Current Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Mar 3, 2014 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

27 Covered Bridge Rd
Cherry Hill, NJ 08034
Phone (856) 428-6768

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

900 Medical Center Dr
Ste 205
Sewell, NJ 08080
Phone (856) 557-5400

900 Medical Center Dr
Ste 201
Sewell, NJ 08080
Phone (856) 218-2100

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1265697528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEDICAL CENTER DR STE 205",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802358",
            "telephone_number": "844-542-2273",
            "fax_number": "856-553-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 JOHN F KENNEDY WAY",
            "address_2": "COOPER UNIVERSITY PHYSICIANS",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461262",
            "telephone_number": "609-835-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Medical Center Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802358",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "fax_number": "856-553-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSZKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015039",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09136800",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "320632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306134",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.