Active NPI
Otto Roza M.D., P.a.
- Nephrology Physician
- Frederick, MD
National Provider Identifier
1629915442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- OTTO ROZA M.D., P.A.
- Practice address
- 140 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4485 - Phone
- (301) 694-7788
- NPI assigned
- Apr 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeremy Yospin, MD
- Title
- President
- Phone
- (301) 797-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
140 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4485
Mailing address
12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600
National Provider Directory
National Provider Directory- Tax ID family
- Otto Roza M D P a
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Hagerstown, MD
- NPI 1316884133
-
- Nephrology Physician
- Hagerstown, MD
- NPI 1548256811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1629915442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12931 OAK HILL AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422914",
"telephone_number": "301-797-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 THOMAS JOHNSON DR STE 202",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024485",
"telephone_number": "301-694-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTO ROZA M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-30",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "YOSPIN",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-797-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.