Active NPI
Jerry H. Rosenberg, M.D.
- Clinic/Center
- Metairie, LA
National Provider Identifier
1710004007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 015206
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1347931 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Jerry H Rosenberg MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Covington, LA
- NPI 1891812087
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.
-
- Urology Physician
- Metairie, LA
- NPI 1801855655
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.