Organization Active NPI

Daniel S. Rosenberg, MD, LLC

  • Specialist
  • Ewing, NJ
National Provider Identifier
1669785101
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA44623 Issued in NJ
Legal business name
DANIEL S. ROSENBERG, MD, LLC
Practice address
34 Scotch Rd
Ewing, NJ 08628-2528
Phone
(609) 883-0614
Fax
(609) 883-1606
NPI assigned
Jul 26, 2010
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Daniel S Rosenberg, MDNPI 1366465486
Title
Physician
Phone
(609) 883-0614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA44623 NJ Primary

Addresses

Primary practice location

34 Scotch Rd
Ewing, NJ 08628-2528

Mailing address

34 Scotch Rd
Ewing, NJ 08628-2528
Phone (609) 883-0614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080221000511 PA Part B Supplier - Clinic/Group Practice 0749364222 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Bensalem, PA; Hatfield, PA
O20110517000411 NJ Part B Supplier - Clinic/Group Practice 0749364222 Receives reassigned benefits from 1 practitioner
Practice locations: Wall, NJ; Bridgewater, NJ; Sea Girt, NJ; Piscataway, NJ; Medford, NJ; Manalapan, NJ; Hammonton, NJ; Ewing, NJ…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

757 Route 202 206
Ste 104
Bridgewater, NJ 08807

392 N White Horse Pike
Ste 2
Hammonton, NJ 08037
Phone (609) 568-5120

155 Route 70
Medford, NJ 08055
Phone (609) 654-6411

24 Stelton Rd
Fl 1
Piscataway, NJ 08854

2130 Route 35
Ste 34
Sea Girt, NJ 08750

1930 State Route 35
Ste 5
Wall Township, NJ 07719
Phone (732) 974-9100

1556 Bristol Pike
#49
Bensalem, PA 19020

262 Bethlehem Pike
Ste 103
Colmar, PA 18915
Phone (215) 822-6321

103 S Main St
Ste 399
Hatfield, PA 19440
Phone (215) 855-2954

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1669785101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SCOTCH RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282528",
            "telephone_number": "609-883-0614",
            "fax_number": "609-883-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SCOTCH RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282528",
            "telephone_number": "609-883-0614",
            "fax_number": "609-883-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S. ROSENBERG, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-883-0614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA44623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.