Individual provider Active NPI

Anthony Rosario, PA-C

  • Physician Assistant
  • Cambridge, MD
National Provider Identifier
1578019014
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007780 Issued in MD
Practice address
411 Dorchester Ave
2ND Floor, Green Office 1
Cambridge, MD 21613-2421
Phone
(443) 203-8898
Fax
(201) 361-5368
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C0007780 MD Primary

Addresses

Primary practice location

411 Dorchester Ave
2ND Floor, Green Office 1
Cambridge, MD 21613-2421

Mailing address

3043 Putty Hill Ave
Parkville, MD 21234-4123
Phone (570) 244-1405

Other practice location 1

209 E Market St Ste 106A
Salisbury, MD 21801-4992
Phone (443) 203-8898

Other practice location 2

106 Old Court Rd Ste 200
Baltimore, MD 21208-4016
Phone (443) 203-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161201001496 PA Practitioner - Physician Assistant 5890075261 Reassigns benefits to 1 organization
I20231102000109 MD Practitioner - Physician Assistant 5890075261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

301 Saint Paul St
Baltimore, MD 21202-2102

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists, Inc. CurrentSince Mar 13, 2025 Accepting new patients
St Paul Place Specialists Inc CurrentSince Mar 13, 2025 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: arosario110355@direct.mdmercy.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1578019014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 PUTTY HILL AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344123",
            "telephone_number": "570-244-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DORCHESTER AVE",
            "address_2": "2ND FLOOR, GREEN OFFICE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132421",
            "telephone_number": "443-203-8898",
            "fax_number": "201-361-5368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Market St Ste 106A",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014992",
            "country_code": "US",
            "telephone_number": "443-203-8898",
            "fax_number": "201-361-5368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Old Court Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212084016",
            "country_code": "US",
            "telephone_number": "443-203-8898",
            "fax_number": "201-361-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.