Individual provider Active NPI

Allen D Rosen, M.D.

  • Plastic Surgery Physician
  • Montclair, NJ
National Provider Identifier
1659485159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA05216600 Issued in NJ
Practice address
37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426
Phone
(973) 233-1933
Fax
(973) 233-1934
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA05216600 NJ Primary

Addresses

Primary practice location

37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426

Mailing address

37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426
Phone (973) 233-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20040408000471 NJ Practitioner - Plastic and Reconstructive Surgery 7113816133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of New York at Buffalo School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
The Plastic Surgery Group PAGroup PAC ID 2668417668, 3 clinicians

Practice addresses (Care Compare)

37 N Fullerton Ave
Montclair, NJ 07042-3426
Phone (973) 233-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Fullerton Surgery Center, LLC CurrentSince Jul 1, 2002 Accepting new patients

Locations

37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659485159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE",
            "address_2": "THE PLASTIC SURGERY GROUP",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-233-1933",
            "fax_number": "973-233-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE",
            "address_2": "THE PLASTIC SURGERY GROUP",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-233-1933",
            "fax_number": "973-233-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ALLEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05216600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.