Organization Active NPI

Rose Tree Medical Associates, LLC

  • Specialist
  • Media, PA
National Provider Identifier
1770849291
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROSE TREE MEDICAL ASSOCIATES, LLC
Practice address
1098 W Baltimore Pike
Suite 3101
Media, PA 19063-5139
Phone
(610) 891-9277
Fax
(610) 891-7778
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Denise Gallagher, RN, OFFICE MANAGER
Title
RN, Office Manager
Phone
(610) 891-9277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3101
Media, PA 19063-5139

Mailing address

1098 W Baltimore Pike
Suite 3101
Media, PA 19063-5139
Phone (610) 891-9277

National Provider Directory

National Provider Directory

Locations

1098 W Baltimore Pike
Ste 3101
Media, PA 19063
Phone (610) 891-9277

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1770849291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3101",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-9277",
            "fax_number": "610-891-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3101",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-9277",
            "fax_number": "610-891-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE TREE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "RN, OFFICE MANAGER",
        "authorized_official_telephone_number": "610-891-9277",
        "authorized_official_credential": "RN, OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.