Jay S Rosen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA30484 Issued in NJ

Practice address

204 Grove Ave
Suite C
West Deptford, NJ 08086-2557

Phone

(856) 467-2009

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1720139736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HIDDEN ACRES DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431551",
            "telephone_number": "856-772-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "address_2": "SUITE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "856-467-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA30484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Rivera
• Alexandra Robinson, FNP
• Amanda G Rodriguez
• Michael S Rogers, MD
• Edwin Antonio Rosado
• Ashlyn Rost, LPC
• Richard David Ruden, D.M.D.
• Beth W Ruske, LMFT
• Jan Bernard Sajous
• Andayah Sams, LSW

• Family Medicine Physician in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.