Rosavan Pine Heights LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ROSAVAN PINE HEIGHTS LLC

Practice address

1001 Pine Heights Ave Ste 304
Baltimore, MD 21229-5285

Phone

(240) 863-2822

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

John Rosa, DC

Title

Owner

Phone

(240) 863-2822

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1306419288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 CHEROKEE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401816",
            "telephone_number": "240-863-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 304",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295285",
            "telephone_number": "240-863-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAVAN PINE HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-863-2822",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Maria Rosario, MD
• Maxim Rosario, MB BCH BAO D.PHIL
• Yamaelis Rosas Sanchez
• Lauren Michelle Rosas, MD
• Veronica Rosas
• Keri Shiels Rosch, PH.D.
• Tranell Roscoe
• Rose & Johnson Psychotherapy LLC
• Rose Petal Mental Health and Wellness, LLC
• Wendy Rose-Hyatt, DDS

• General Practice Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.