Individual provider Active NPI

Lewis J. Rose, MD

  • Hematology & Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1407923113
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD022284E Issued in PA
Practice address
925 Chestnut St
Suite 320a
Philadelphia, PA 19107-4216
Phone
(215) 955-8874
Fax
(215) 955-2340
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD022284E PA Primary

Addresses

Primary practice location

925 Chestnut St
Suite 320a
Philadelphia, PA 19107-4216

Mailing address

925 Chestnut St
Ste 320a
Philadelphia, PA 19107-4246

Other identifiers 2

IdentifierTypeStateIssuer
0196410MedicaidNJ
0008026440003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000166 PA Practitioner - Hematology/Oncology 5193892800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Harvard Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 890-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022284EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Jun 1, 2009 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services Hematology & Oncology CurrentSince Mar 1, 2021 Accepting new patients
Aria Health Physician Services CurrentSince Mar 1, 2021 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

1015 Chestnut St
Ste 1321
Philadelphia, PA 19107
Phone (215) 923-5676

3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630

925 Chestnut St
Ste 320A
Philadelphia, PA 19107
Phone (215) 955-1175

2701 Holme Ave
Ste 302
Philadelphia, PA 19152
Phone (215) 335-7705

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

1015 Chestnut St
Ste 306
Philadelphia, PA 19107

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

111 S 11th St
Ste 96240
Philadelphia, PA 19107
Phone (215) 238-9680

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1407923113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST",
            "address_2": "STE 320A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST",
            "address_2": "SUITE 320A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074216",
            "telephone_number": "215-955-8874",
            "fax_number": "215-955-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LEWIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD022284E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196410",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008026440003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.