Active NPI
Jay S Rosen, MD
- Urology Physician
- Oradell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA03775800
- Practice address
- 555 Kinderkamack Rd
Oradell, NJ 07649-1517 - Phone
- (201) 791-4544
- Fax
- (201) 791-6585
- NPI assigned
- Mar 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA03775800 | NJ | Primary |
Addresses
Primary practice location
555 Kinderkamack Rd
Oradell, NJ 07649-1517
Mailing address
15-01 Broadway, RT 4 West
Suites 1 & 3
Fair Lawn, NJ 07410
Phone (201) 791-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087308 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Kinderkamack Rd
Suite 300
Oradell, NJ 07649-1600
Phone (201) 834-1890
Hospital & facility affiliations
- Hackensack University Medical Center
- Valley Hospital
- The University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03775800 | NJ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sovereign Medical Group LLC | Urology | Current | Accepting new patients |
| Sovereign Medical Group, LLC | Current | Accepting new patients | |
| Urology Specialty Care PA | Past | Accepting new patients |
Locations
630 Broad St
Fl 2
Carlstadt, NJ 07072
15-01 Broadway
Ste 1
Fair Lawn, NJ 07410
Phone (201) 703-8487
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
555 Kinderkamack Rd
Ste D
Oradell, NJ 07649
Phone (201) 265-1133
680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869
Interoperability endpoints
- jay.rosen.2@5622.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Urology Physician
- Oradell, NJ
- NPI 1710282082
-
- Durable Medical Equipment & Medical Supplies
- Glen Rock, NJ
- NPI 1801266275
-
- Radiation Oncology Physician
- Hackensack, NJ
- NPI 1326330366
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477521706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY, RT 4 WEST",
"address_2": "SUITES 1 & 3",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-791-4544",
"fax_number": "201-791-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 KINDERKAMACK RD",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491517",
"telephone_number": "201-791-4544",
"fax_number": "201-791-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "JAY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA03775800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087308",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oradell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.