Active NPI
Stephen G Rosen, MD
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
National Provider Identifier
1689682130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD428931
- Practice address
- 800 Spruce St
Pine Building
Philadelphia, PA 19107-6130 - Phone
- (215) 829-3445
- Fax
- (215) 829-3486
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD428931 | PA | Primary |
Addresses
Primary practice location
800 Spruce St
Pine Building
Philadelphia, PA 19107-6130
Mailing address
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-3445
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD428931 | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1689682130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-3445",
"fax_number": "215-829-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"address_2": "PINE BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-3445",
"fax_number": "215-829-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "STEPHEN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD428931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.