Active NPI
Jonathan Benensohn Rosefsky, M.D.
- General Practice Physician
- Bryn Mawr, PA
National Provider Identifier
1538485289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101019529
- Practice address
- 1164 Saint Andrews Rd
Bryn Mawr, PA 19010-1951 - Phone
- (610) 520-4595
- Fax
- (610) 520-4595
- NPI assigned
- Apr 20, 2010
- Last updated
- Mar 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD010749 E | PA | |
| General Practice Physician | 208D00000X | 0101019529 | VA | Primary |
Addresses
Primary practice location
1164 Saint Andrews Rd
Bryn Mawr, PA 19010-1951
Mailing address
1164 Saint Andrews Rd
Bryn Mawr, PA 19010-1951
Phone (610) 520-4595
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD010749 E | PA | MD | Pediatrics Physician |
| 0101019529 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1538485289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 SAINT ANDREWS RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101951",
"telephone_number": "610-520-4595",
"fax_number": "610-520-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 SAINT ANDREWS RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101951",
"telephone_number": "610-520-4595",
"fax_number": "610-520-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEFSKY",
"first_name": "JONATHAN",
"middle_name": "BENENSOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD010749 E",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101019529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
- Laura Amber Romano, MHS, PA-C
- Ronald a. Lohner, M.D. , Plastic Surgery LTD
- Joseph D Rondeau, DPM
- Rachel Rosales, CRNP
- Aura Rose, CMT, CBT, CST, RM
- Rosemont Care and Rehabilitation Center LLC (Rosemont Care and Rehabilitation Center)
- Rosemont Care LLC (Rosemont Care and Rehabilitation Center)
- Avery Rosen, D.O.
- Deborah Caputo Rosen, PHD
- Howard B Rosen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.