Active NPI
J. Edward Rosenthal Jr., M.D.
- Cardiovascular Disease Physician
- Dallas, TX
National Provider Identifier
1497747059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D4288
- Practice address
- 7777 Forest LN
Suite A202
Dallas, TX 75230-2584 - Phone
- (972) 566-7733
- Fax
- (972) 720-5803
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D4288 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite A202
Dallas, TX 75230-2584
Mailing address
7777 Forest LN
Suite A202
Dallas, TX 75230-2584
Phone (972) 566-7733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136795511 | Medicaid | TX | |
| 136795512 | Medicaid | TX |
Other names 1
- Dr. Jed Rosenthal
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4288 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Specialty Associates of North Texas, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1497747059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE A202",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302584",
"telephone_number": "972-566-7733",
"fax_number": "972-720-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE A202",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302584",
"telephone_number": "972-566-7733",
"fax_number": "972-720-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "J.",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "D4288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136795511",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136795512",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JED",
"last_name": "ROSENTHAL",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.