Individual provider Active NPI

Jessica Rosen

  • Infectious Disease Physician
  • Silver Spring, MD
National Provider Identifier
1871525568
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0076310 Issued in MD
Practice address
2000 Dennis Ave
Silver Spring, MD 20902-4136
Phone
(240) 777-3999
Fax
(240) 777-4263
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0076310 MD Primary
Infectious Disease Physician 207RI0200X 035689 DC

Addresses

Primary practice location

2000 Dennis Ave
Silver Spring, MD 20902-4136

Mailing address

2000 Dennis Ave
Silver Spring, MD 20902-4136
Phone (240) 777-3999

Other identifiers 1

IdentifierTypeStateIssuer
P00678661OtherDCMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070212000448 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 2264434885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035689DCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients
Montgomery County Maryland Government CurrentSince Nov 8, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince Nov 8, 2024 Accepting new patients

Locations

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

401 Hungerford Dr
Fl 6
Rockville, MD 20850

2000 Dennis Ave
Silver Spring, MD 20902
Phone (240) 777-1869

Interoperability endpoints

  • Direct secure messaging: jessica.rosen.p3@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: jessica.rosen.p1@direct.mcg-hhs.nextgenshare.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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1871525568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DENNIS AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024136",
            "telephone_number": "240-777-3999",
            "fax_number": "240-777-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DENNIS AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024136",
            "telephone_number": "240-777-3999",
            "fax_number": "240-777-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0076310",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "035689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00678661",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.