Individual provider Active NPI

Ilene Michele Rosen, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1407871072
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD056964L Issued in PA
Practice address
3624 Market St
Suite 205
Philadelphia, PA 19104-2614
Phone
(215) 662-7772
Fax
(215) 349-8038
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD056964L PA
Pulmonary Disease Physician 207RP1001X MD056964L PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD056964L PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA06898600 NJ

Addresses

Primary practice location

3624 Market St
Suite 205
Philadelphia, PA 19104-2614

Mailing address

3624 Market St
Suite 205
Philadelphia, PA 19104-2614
Phone (215) 662-7772

Other identifiers 1

IdentifierTypeStateIssuer
0016156910002MedicaidPA

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
I20090616000654 NJ Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941350771 Reassigns benefits to 1 organization
I20100318000779 PA Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 0941350771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-8600

3400 Civic Ctr Blvd 1St
Harron Lung Pcam
Philadelphia, PA 19104-4306
Phone (215) 662-3202

3400 Civic Ctr Blvd W Pavillion
4 Penn Diabetic Kidney Disease Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2638

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

3535 Market St
Philadelphia, PA 19104-3362

3549 Chestnut St
FL 9
Philadelphia, PA 19104-3361
Phone (215) 662-7772

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

3737 Market St
FL 10
Philadelphia, PA 19104-5545
Phone (215) 662-8766

51 N 39TH St 1St FL Phi
Pulmomary Med PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8766

51 N 39TH St HVP 2ND FL
Pulmonary Dysp PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8888

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Pulmonary Disease CurrentSince Jan 2, 2001 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 2, 2001 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2009 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Pulmonary Disease CurrentSince Jul 1, 2009 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1006 Mantua Pike
Spc Care
Woodbury, NJ 08097
Phone (856) 845-8600

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

12 E Swedesford Rd
Malvern, PA 19355

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3624 Market St
Ste 205
Philadelphia, PA 19104
Phone (215) 615-0980

3549 Chestnut St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-7005

3400 Spruce St
#11
Philadelphia, PA 19104
Phone (215) 662-2700

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

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 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1407871072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST",
            "address_2": "SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "215-662-7772",
            "fax_number": "215-349-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST",
            "address_2": "SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "215-662-7772",
            "fax_number": "215-349-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ILENE",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD056964L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD056964L",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD056964L",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA06898600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016156910002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.