Glenn D Rosen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD417389 Issued in PA

Practice address

515 W Chelten Ave
Philadelphia, PA 19144-4414

Phone

(215) 848-6700

Fax

(215) 843-0770

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Encompass Remote IncGroup PAC ID 7810358744, 7 clinicians

Robert M. Weinstock MDPCGroup PAC ID 7315920303, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Carlisle LLC Home health agency, Havertown, PA, CCN 397645
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Remote Inc

  • Physiological Laboratory
  • Canonsburg, PA
  • NPI 1063105559
  Medicare reassignment Care Compare group NPD
• Robert M. Weinstock MDPC

  dba Parkside Family Medicine

  • Family Medicine Physician
  • Phila, PA
  • NPI 1639216385
  Medicare reassignment Care Compare group
• Genmed LLC

  dba Encompass Remote

  • Physiological Laboratory
  • Hickory, PA
  • NPI 1306592787
  Medicare reassignment NPD

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

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Residential Home Health of Carlisle, LLC

  • Home Health Agency
  • Havertown, PA
  • NPI 1174472427
  Care Compare affiliation

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629115340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700",
            "fax_number": "215-843-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700",
            "fax_number": "215-843-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "GLENN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019446800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Suzanne Rosen, MD
• Alyssa Rachel Rosen, M.D.
• Ayelet Rosen, MD
• David Rosen, MD
• David Rosen, M.D.
• Harvey Mark Rosen, M.D., , D.M.D.
• Ilene Michele Rosen, MD
• Karli Brooke Rosen, MFT
• Laurie F. Rosen, MA,CCC/A
• Louis Rosen, LCSW

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.