NPIMap

Organization Active NPI

Dr. Alan M. Rosenberg

  • Optometrist
  • North Wales, PA
National Provider Identifier
1760437511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5554-T Issued in PA
Legal business name
DR. ALAN M. ROSENBERG
Practice address
26 Airport SQ
North Wales, PA 19454-1419
Phone
(215) 362-1177
Fax
(215) 362-7026
NPI assigned
May 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Marc Rosenberg, O.D.NPI 1174575740
Title
Owner
Phone
(215) 362-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5554-T PA Primary

Addresses

Primary practice location

26 Airport SQ
North Wales, PA 19454-1419

Mailing address

26 Airport SQ
North Wales, PA 19454-1419
Phone (215) 362-1177

Other identifiers 2

IdentifierTypeStateIssuer
4358124OtherPAAETNA
0048845000OtherPAIBC

National Provider Directory

National Provider Directory

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760437511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 AIRPORT SQ",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541419",
            "telephone_number": "215-362-1177",
            "fax_number": "215-362-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 AIRPORT SQ",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541419",
            "telephone_number": "215-362-1177",
            "fax_number": "215-362-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALAN M. ROSENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-362-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "5554-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4358124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0048845000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.