Susan Rosenthal, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

MA45981 Issued in NJ

Practice address

20 Chapel St Apt C612
Brookline, MA 02446-7403

Phone

(732) 672-0224

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1740365634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST APT C612",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024467403",
            "telephone_number": "732-672-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST APT C612",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024467403",
            "telephone_number": "732-672-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04598100",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "MA45981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Robert Rosenbaum, M.D.
• Alyssa Brooke Rosenberg, M.A., CCC-SLP
• David Bennett Rosenberg, PH.D.
• Ruth Rosenberg, PH.D.
• Harriet Rosenstein, PH.D., LICSW
• Brooke Rosing
• Alexandra Ross
• Elizabeth Hope Ross, LICSW
• Jennifer Allison Ross, M.D.
• Jacqueline Rossey, MS CCC-SLP

• Pediatric Gastroenterology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Pediatric Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.