Active NPI
Karen D Rosen, PA
- Medical Physician Assistant
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001835
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1221 - Phone
- (203) 709-6004
- Fax
- (203) 709-3700
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001835 | CT | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1221
Mailing address
56 Franklin St
3Rd Floor
Waterbury, CT 06706-1221
Phone (203) 709-8873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 W Main St
Waterbury, CT 06708-3121
Phone (203) 709-4030
58 Maple St
Naugatuck, CT 06770-4160
Phone (203) 723-5636
Hospital & facility affiliations
- Saint Mary'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001835 | CT | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Southington Urgent Care | Past | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients | |
| Franklin Medical Group, PC | Past | Accepting new patients |
Locations
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
Interoperability endpoints
- krosen3102448@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Bloomfield, CT
- NPI 1447867452
-
- Urgent Care Clinic/Center
- Danbury, CT
- NPI 1003152984
-
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1780686964
-
- Internal Medicine Physician
- Southington, CT
- NPI 1205959301
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1306928593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"address_2": "3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061221",
"telephone_number": "203-709-8873",
"fax_number": "203-709-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061221",
"telephone_number": "203-709-6004",
"fax_number": "203-709-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "KAREN",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.