Organization Active NPI

Colon & Rectal Surgeons, LTD

  • Colon & Rectal Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1326345547
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD021216E Issued in PA
Legal business name
COLON & RECTAL SURGEONS, LTD
Practice address
7936 Bustleton Ave
Philadelphia, PA 19152-3321
Phone
(215) 673-0343
Fax
(215) 464-6522
NPI assigned
Feb 24, 2011
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Robin E Rosenberg, M.D.
Title
President
Phone
(215) 673-0343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD021216E PA
Colon & Rectal Surgery Physician 208C00000X MD021216E PA Primary

Addresses

Primary practice location

7936 Bustleton Ave
Philadelphia, PA 19152-3321

Mailing address

7936 Bustleton Ave
Philadelphia, PA 19152-3321
Phone (215) 673-0343

Other identifiers 1

IdentifierTypeStateIssuer
3825589000OtherPAIBC

National Provider Directory

National Provider Directory

Locations

7936 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 673-0343

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1326345547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523321",
            "telephone_number": "215-673-0343",
            "fax_number": "215-464-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523321",
            "telephone_number": "215-673-0343",
            "fax_number": "215-464-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGEONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-673-0343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD021216E",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD021216E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3825589000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.