Active NPI
Jillian Rosenblum, PA-C
- Physician Assistant
- Moncks Corner, SC
National Provider Identifier
1346055860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2061 Highway 52
Moncks Corner, SC 29461-5017 - Phone
- (843) 761-8800
- NPI assigned
- Feb 11, 2025
- 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 | Primary |
Addresses
Primary practice location
2061 Highway 52
Moncks Corner, SC 29461-5017
Mailing address
2061 Highway 52
Moncks Corner, SC 29461-5017
Phone (843) 761-8800
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1346055860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615017",
"telephone_number": "843-761-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615017",
"telephone_number": "843-761-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLUM",
"first_name": "JILLIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Eric M Rowley, MD
- Christian Ruiz, PHARM.D
- Nijah J Russell
- Adam Gordon Sachs, LPC
- Safe Haven Telehealth Counseling LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.