Individual provider Active NPI

Kenneth M Rosenstein, M.D.

  • Otolaryngology Physician
  • Sewell, NJ
National Provider Identifier
1376792606
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA09056400 Issued in NJ
Practice address
570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359
Phone
(856) 589-6673
NPI assigned
Sep 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 250301 NY
Otolaryngology Physician 207Y00000X 25MA09056400 NJ Primary

Addresses

Primary practice location

570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359

Mailing address

570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359
Phone (856) 589-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120717000037 NJ Practitioner - Otolaryngology 8123284379 Reassigns benefits to 1 organization
I20170721000193 PA Practitioner - Otolaryngology 8123284379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

1608 Walnut St 9TH FLR
Becker ENT Allergy Walnut St
Philadelphia, PA 19103-5451
Phone (215) 929-8301

1840 S St
Suite 2
Philadelphia, PA 19146-7422
Phone (215) 515-5999

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09056400NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Otolaryngology CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 19, 2020 Accepting new patients
Chestnut Hill Allergy and Asthma Associates, LLC CurrentSince Jun 12, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients

Locations

911 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-8787

1 Union St
Ste 206
Robbinsville, NJ 08691
Phone (609) 436-5740

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

255 S 17th St
Ste 1104
Philadelphia, PA 19103
Phone (215) 545-2252

1740 South St
Philadelphia, PA 19146
Phone (215) 546-2183

1840 South St
Philadelphia, PA 19146
Phone (215) 421-7889

1840 South St
Ste 2
Philadelphia, PA 19146
Phone (215) 545-7246

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

1740 South St
Ste 300
Philadelphia, PA 19146
Phone (215) 732-0876

1608 Walnut St
Fl 9
Philadelphia, PA 19103
Phone (215) 929-8301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCGACA

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.

Hospital & facility affiliations 4

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1376792606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE B2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-589-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE B2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-589-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTEIN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "250301",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA09056400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.