T Rose, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

186041 Issued in NY

Practice address

21 Green Springs Way
Freehold, NJ 07728-9070

Phone

(732) 740-1602

NPI assigned

Jun 26, 2006

Last updated

Mar 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1457388498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREEN SPRINGS WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289070",
            "telephone_number": "732-740-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN SPRINGS WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289070",
            "telephone_number": "732-740-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186041",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NJ",
            "license": "25MA05615100",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "MA605615100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044962",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Root to Rise Counseling LLC
• Alexandra Roque, ATC
• John William Rosado Jr., PSY.D.
• Kimberly Rosas
• Christopher Rose, BCBA
• Renee M Rosen, LCSW
• Lori Alyson Rosenberg, D.O.
• Howard P Rosenstein, M.D.
• Brent Hayden Rosenthal, DPM
• Nicole Rosenthal, APN

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.