Organization Active NPI

JSR Healthcare, PC

  • Clinic/Center
  • Swedesboro, NJ
National Provider Identifier
1588745640
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA304848 Issued in NJ
Legal business name
JSR HEALTHCARE, PC
Practice address
510 Heron Dr
Suite107
Swedesboro, NJ 08085-1767
Phone
(856) 467-2009
Fax
(856) 467-2535
NPI assigned
Oct 17, 2006
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Jay S Rosen, MDNPI 1720139736
Title
President
Phone
(856) 467-2009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA304848 NJ Primary

Addresses

Primary practice location

510 Heron Dr
Suite107
Swedesboro, NJ 08085-1767

Mailing address

PO Box 67
Bridgeport, NJ 08014-0067
Phone (856) 467-2009

National Provider Directory

National Provider Directory

Locations

510 Heron Dr
Ste 107
Swedesboro, NJ 08085
Phone (856) 467-2009

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1588745640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "BRIDGEPORT",
            "state": "NJ",
            "postal_code": "080140067",
            "telephone_number": "856-467-2009",
            "fax_number": "856-467-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HERON DR",
            "address_2": "SUITE107",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851767",
            "telephone_number": "856-467-2009",
            "fax_number": "856-467-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSR HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-467-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA304848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.