Active NPI
Ian Eric Rosman, MS, ATC
- Athletic Trainer
- West Haven, CT
National Provider Identifier
1487623393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000618
- Practice address
- 10 4TH Ave Apt 12
West Haven, CT 06516-3745 - Phone
- (203) 535-5441
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000618 | VA | Primary |
Addresses
Primary practice location
10 4TH Ave Apt 12
West Haven, CT 06516-3745
Mailing address
10 4TH Ave Apt 12
West Haven, CT 06516-3745
Phone (203) 535-5441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54000528 | Other | CT | CT DPH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000618 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1487623393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 4TH AVE APT 12",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163745",
"telephone_number": "203-535-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 4TH AVE APT 12",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163745",
"telephone_number": "203-535-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSMAN",
"first_name": "IAN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT DPH",
"identifier": "54000528",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.