Active NPI
Joel W Rosenberg, MD
- Urology Physician
- Clifton, NJ
National Provider Identifier
1861435836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 29411
- Practice address
- 721 Clifton Ave
Clifton, NJ 07013-1880 - Phone
- (973) 778-7988
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29411 | NJ | Primary |
Addresses
Primary practice location
721 Clifton Ave
Clifton, NJ 07013-1880
Mailing address
721 Clifton Ave
Clifton, NJ 07013-1880
Phone (973) 778-7988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29411 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1861435836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131880",
"telephone_number": "973-778-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131880",
"telephone_number": "973-778-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "JOEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "29411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.