Individual provider Active NPI

Jonathan Minder Rosen, M.D.

  • Pulmonary Disease Physician
  • Danbury, CT
National Provider Identifier
1821084419
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
55549 Issued in CT
Practice address
24 Hospital Ave
Danbury Hospital
Danbury, CT 06810-6099
Phone
(203) 739-6341
Fax
(203) 739-1585
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 165946-1 NY
Pulmonary Disease Physician 207RP1001X 165946-1 NY
Pulmonary Disease Physician 207RP1001X 55549 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury Hospital
Danbury, CT 06810-6099

Mailing address

24 Hospital Ave
Danbury Hospital
Danbury, CT 06810-6099
Phone (203) 739-6341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712001793 CT Practitioner - Pulmonary Disease 7012006968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
165946-1NYMDCritical Care Medicine (Internal Medicine) Physician
55549CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Hospital Association CurrentSince Nov 5, 2020 Accepting new patients
Norwalk Hospital Association CurrentSince Nov 5, 2020 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Critical Care Medicine CurrentSince Jun 1, 2017 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262

Interoperability endpoints

  • Direct secure messaging: jonathan.rosen.1@16244.direct.athenahealth.com

Organizations & group practices 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1821084419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "address_2": "DANBURY HOSPITAL",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-6341",
            "fax_number": "203-739-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "address_2": "DANBURY HOSPITAL",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-6341",
            "fax_number": "203-739-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JONATHAN",
        "middle_name": "MINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "165946-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "165946-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "55549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.