Active NPI
Bruce T. Rose, MD
- Internal Medicine Physician
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08162800
- Practice address
- 811 Executive Dr
Princeton, NJ 08540-1530 - Phone
- (606) 303-4600
- Fax
- (609) 303-4601
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08162800 | NJ | Primary |
Addresses
Primary practice location
811 Executive Dr
Princeton, NJ 08540-1530
Mailing address
811 Executive Dr
Princeton, NJ 08540-1530
Phone (609) 303-4600
Other practice location 1
419 N Harrison St
Princeton, NJ 08540-3521
Phone (609) 924-9300
Other practice location 2
811 Executive Dr
Princeton, NJ 08540-1530
Phone (606) 303-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5841909 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bruce.rose.1@12833.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244
1050 Stony Hill Rd
Yardley, PA 19067-5500
Phone (215) 504-1761
Hospital & facility affiliations
- Penn Medicine Home Health Princeton Health
- University Medical Center of Princeton at Plainsboro
- Capital Health Medical Center - Hopewell
- Capital Health Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08162800 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Capital Pediatric Hospitalists | Past | Accepting new patients | |
| Capital Emergency Physicians & Associates | Past | Accepting new patients | |
| Princeton Medical Group, P.a. | Past | Accepting new patients |
Locations
1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
3131 Princeton Pike
Ste 208
Lawrenceville, NJ 08648
Phone (609) 394-6029
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
811 Executive Dr
Princeton, NJ 08540
Phone (606) 303-4600
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Lawrenceville, NJ
- NPI 1326367368
-
- Pediatrics Physician
- Lawrenceville, NJ
- NPI 1730408758
-
- Non-Pharmacy Dispensing Site
- Plainsboro, NJ
- NPI 1144617937
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regional Medical Center
- General Acute Care Hospital
- Trenton, NJ
- NPI 1275583726
-
dba Capital Health Medical Center - Hopewell
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
-
dba Penn Medicine Princeton Medical Center
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
-
dba Penn Medicine HomeHealth Princeton Health
- Home Health Agency
- Princeton, NJ
- NPI 1760524052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1861420077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 EXECUTIVE DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401530",
"telephone_number": "609-303-4600",
"fax_number": "609-303-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 EXECUTIVE DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401530",
"telephone_number": "606-303-4600",
"fax_number": "609-303-4601"
}
],
"practiceLocations": [
{
"address_1": "419 N Harrison St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085403521",
"country_code": "US",
"telephone_number": "609-924-9300",
"fax_number": "609-924-3477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 Executive Dr",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085401530",
"country_code": "US",
"telephone_number": "606-303-4600",
"fax_number": "609-303-4601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "BRUCE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08162800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5841909",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bruce.rose.1@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "811 Executive Dr",
"city": "Princeton",
"state": "NJ",
"country_code": "US",
"postal_code": "085401530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.