Individual provider Active NPI

Jeffrey Rosen, D.M.D.

  • General Practice Dentistry
  • Bensalem, PA
National Provider Identifier
1508949017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028245L Issued in PA
Practice address
5166 Neshaminy Blvd
Bensalem, PA 19020-1132
Phone
(215) 757-1197
Fax
(215) 757-2125
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028245L PA Primary

Addresses

Primary practice location

5166 Neshaminy Blvd
Bensalem, PA 19020-1132

Mailing address

5166 Neshaminy Blvd
Bensalem, PA 19020-1132
Phone (215) 757-1197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002287 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466766092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028245LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Melvyn J. Rosen DDS PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508949017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5166 NESHAMINY BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201132",
            "telephone_number": "215-757-1197",
            "fax_number": "215-757-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 NESHAMINY BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201132",
            "telephone_number": "215-757-1197",
            "fax_number": "215-757-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028245L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.