Active NPI
Jeffrey M Rosowski, PA
- Medical Physician Assistant
- Raleigh, NC
National Provider Identifier
1649570060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 102924
- Practice address
- 3320 Executive Dr Ste 222
Raleigh, NC 27609-7445 - Phone
- (919) 877-1100
- Fax
- (919) 877-8118
- NPI assigned
- Nov 2, 2010
- Last updated
- Feb 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102924 | NC | Primary |
Addresses
Primary practice location
3320 Executive Dr Ste 222
Raleigh, NC 27609-7445
Mailing address
3320 Executive Dr
Ste 222
Raleigh, NC 27609-7445
Phone (919) 596-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102924 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreview Medical Associates, PLLC | Past | Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients | |
| Good Hope Hospital, Inc. | Past | Accepting new patients | |
| Metro Internal Medicine P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJBBAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Erwin, NC
- NPI 1477812519
-
- Primary Care Clinic/Center
- Raleigh, NC
- NPI 1689912792
-
- Specialist
- Carolina Beach, NC
- NPI 1003879842
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1649570060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 EXECUTIVE DR",
"address_2": "STE 222",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097445",
"telephone_number": "919-596-3400",
"fax_number": "919-596-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 EXECUTIVE DR STE 222",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097445",
"telephone_number": "919-877-1100",
"fax_number": "919-877-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSOWSKI",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.