Individual provider Active NPI

Rosemary Garozzo, ADMINISTRATOR

  • MOHS-Micrographic Surgery Physician
  • Drexel Hill, PA
National Provider Identifier
1487308227
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS-003330-L Issued in PA
Practice address
2221 Garrett Rd
Drexel Hill, PA 19026-1101
Phone
(610) 623-5885
Fax
(610) 623-7276
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OS-003330-L PA Primary

Addresses

Primary practice location

2221 Garrett Rd
Drexel Hill, PA 19026-1101

Mailing address

2221 Garrett Rd
Drexel Hill, PA 19026-1101
Phone (215) 546-3666

Other practice location 1

1200 Locust St
Philadelphia, PA 19107-5605
Phone (215) 546-3666 ext. 303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OS-003330-LPAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benedetto Dermatology,LLC Past Accepting new patients
Benedetto Dermatology, LLC Mohs-Micrographic Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1487308227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261101",
            "telephone_number": "215-546-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261101",
            "telephone_number": "610-623-5885",
            "fax_number": "610-623-7276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Locust St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075605",
            "country_code": "US",
            "telephone_number": "215-546-3666 x303",
            "fax_number": "215-546-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAROZZO",
        "first_name": "ROSEMARY",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "OS-003330-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.