Jordin Mazer Rosenberger, DNP, CPNP-PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R211132 Issued in MD

Practice address

4863 Pulaski Hwy Ste 120
Perryville, MD 21903-1623

Phone

(410) 642-9172

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanchez Counseling, LLC

  • Clinical Social Worker
  • Perryville, MD
  • NPI 1619453750

  Single Specialty

  NPD (past)
• L & W Pediatrics PA

  dba Pediatric Partners

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1588726368
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1780350140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 PULASKI HWY STE 120",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219031623",
            "telephone_number": "410-642-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PULASKI HWY STE 120",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219031623",
            "telephone_number": "410-642-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "JORDIN",
        "middle_name": "MAZER",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R211132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Nosek, MS, PA-C
• Erica J Oliphant, LCSW
• Ian R Ponen, PHARMD
• Stanley Prochaska Jr.
• Carol Samuel Robinson, LCSW-C
• S&B Behavioral Health Care LLC
• S&B Behavioral Health Care LLC
• S&B Behavioral Health Care LLC
• Sanchez Counseling, LLC
• Abu Abdullah Abdullah Sargeant

• Pediatrics Physician in Perryville, MD
• Providers in Perryville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.