Individual provider Active NPI

Fran Rosenfeld, NP

  • Adult Health Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1619079761
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN09830700 Issued in NJ
Practice address
100 Gainsboro Rd
Cherry Hill, NJ 08003-1521
Phone
(856) 424-6638
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R250477 MD
Adult Health Nurse Practitioner 363LA2200X 26NN09830700 NJ Primary

Addresses

Primary practice location

100 Gainsboro Rd
Cherry Hill, NJ 08003-1521

Mailing address

100 Gainsboro Rd
Cherry Hill, NJ 08003-1521
Phone (856) 424-6638

Other identifiers 1

IdentifierTypeStateIssuer
7899807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, VA, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040915000234 NJ Practitioner - Nurse Practitioner 4082681481 Reassigns benefits to 1 organization
I20220314002067 MD Practitioner - Nurse Practitioner 4082681481 Reassigns benefits to 1 organization
I20220520000697 VA Practitioner - Nurse Practitioner 4082681481
I20230622001288 FL Practitioner - Nurse Practitioner 4082681481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R250477MDMDAdult Health Nurse Practitioner
26NN09830700NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal NP Services, LLC CurrentSince Apr 1, 2016 Accepting new patients
Vitality NP Group CurrentSince Feb 1, 2022 Accepting new patients
Family Practice Medical Past Accepting new patients
Intellihealth, Inc. PastSince Jan 17, 2014 Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

Interoperability endpoints

  • Direct secure messaging: frosenfeld@direct.meditouchehr.com

Organizations & group practices 4

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1619079761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GAINSBORO RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031521",
            "telephone_number": "856-424-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GAINSBORO RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031521",
            "telephone_number": "856-424-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "FRAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R250477",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09830700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7899807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.