Individual provider Active NPI

Jerome Rosenstein, MD

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
National Provider Identifier
1669472932
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
224098 Issued in NY
Practice address
30 Harrison Street
Suite 320
Johnson City, NY 13790-2544
Phone
(607) 763-8205
Fax
(607) 763-8208
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 224098 NY Primary

Addresses

Primary practice location

30 Harrison Street
Suite 320
Johnson City, NY 13790-2544

Mailing address

99 E State St
Gloversville, NY 12078-1203
Phone (518) 775-4205

Other identifiers 1

IdentifierTypeStateIssuer
02229110MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231031001026 MD Practitioner - Obstetrics/Gynecology 5395871313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

41680 Miss Bessie Dr
Leonardtown, MD 20650-2906
Phone (301) 997-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2023 Accepting new patients
Southern Maryland Women's Healthcare, PA Obstetrics & Gynecology PastSince Nov 1, 2002 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055

41680 Miss Bessie Dr
Ste 102
Leonardtown, MD 20650
Phone (301) 997-1788

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

Interoperability endpoints

  • Direct secure messaging: jrosenstein32377@mvhealthsystem.direct-ci.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1669472932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-775-4205",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON STREET",
            "address_2": "SUITE 320",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902544",
            "telephone_number": "607-763-8205",
            "fax_number": "607-763-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTEIN",
        "first_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "224098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02229110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.