Organization Active NPI

Jerry H. Rosenberg, M.D.

  • Clinic/Center
  • Metairie, LA
National Provider Identifier
1710004007
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
015206 Issued in LA
Legal business name
JERRY H. ROSENBERG, M.D.
Practice address
4224 Houma Blvd
260
Metairie, LA 70006-2933
Phone
(504) 887-5555
Fax
(504) 888-5031
NPI assigned
Mar 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jonelle W Couch
Title
Business Office Manager
Phone
(504) 887-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 015206 LA Primary
Medical Specialty Clinic/Center 261QM2500X 015206 LA

Addresses

Primary practice location

4224 Houma Blvd
260
Metairie, LA 70006-2933

Mailing address

4224 Houma Blvd
260
Metairie, LA 70006-2933
Phone (504) 887-5555

Other identifiers 1

IdentifierTypeStateIssuer
1347931MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Jerry H Rosenberg MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4224 Houma Blvd
Ste 260
Metairie, LA 70006
Phone (504) 887-5555

Practitioners & affiliated clinicians

Practitioners 1

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710004007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-887-5555",
            "fax_number": "504-888-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-887-5555",
            "fax_number": "504-888-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY H. ROSENBERG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "JONELLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-887-5555"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "015206",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "015206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.