Individual provider Active NPI

Jess Howard Rosenberg, D.C.

  • Chiropractor
  • Trenton, NJ
National Provider Identifier
1760401210
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC03377 Issued in NJ
Practice address
320 White Horse Ave
Trenton, NJ 08610-1412
Phone
(609) 585-9222
Fax
(609) 581-8097
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC03377 NJ Primary

Addresses

Primary practice location

320 White Horse Ave
Trenton, NJ 08610-1412

Mailing address

320 White Horse Ave
Trenton, NJ 08610-1412
Phone (609) 585-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000291 NJ Practitioner - Chiropractic 9830231422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC03377NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Chiropractor Center, a Professional Association Chiropractor CurrentSince Dec 26, 2009 Accepting new patients
Neuromechanical Pain Management Associates PC Chiropractor Past Accepting new patients

Locations

320 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 525-9222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1760401210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WHITE HORSE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101412",
            "telephone_number": "609-585-9222",
            "fax_number": "609-581-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WHITE HORSE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101412",
            "telephone_number": "609-585-9222",
            "fax_number": "609-581-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JESS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.