Active NPI
Alan E Rosen, M.D.
- Family Medicine Physician
- Plymouth, NH
National Provider Identifier
1821039371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10034
- Practice address
- 101 Boulder Point Dr
Suite 1
Plymouth, NH 03264 - Phone
- (603) 536-4000
- Fax
- (603) 536-4001
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10034 | NH | Primary |
Addresses
Primary practice location
101 Boulder Point Dr
Suite 1
Plymouth, NH 03264
Mailing address
101 Boulder Point Dr
Suite 1
Plymouth, NH 03264
Phone (603) 536-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RE4060 | Other | NH | MEDICARE GROUP |
| 30010496 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1821039371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BOULDER POINT DR",
"address_2": "SUITE 1",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "03264",
"telephone_number": "603-536-4000",
"fax_number": "603-536-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BOULDER POINT DR",
"address_2": "SUITE 1",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "03264",
"telephone_number": "603-536-4000",
"fax_number": "603-536-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ALAN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "10034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "RE4060",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010496",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.