NPIMap

Organization Active NPI

Fox Chase Pain Management Associates, PC

  • Specialist
  • Trevose, PA
National Provider Identifier
1881649416
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD008053E Issued in PA
Legal business name
FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC
Practice address
4979 Old Street Rd
Suite B
Trevose, PA 19053-6222
Phone
(267) 288-5601
Fax
(267) 288-5905
NPI assigned
May 23, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Steven Mark Rosen, M.D.NPI 1144294323
Title
President
Phone
(267) 288-5601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD034707E PA
Specialist 174400000X MD008053E PA Primary

Addresses

Primary practice location

4979 Old Street Rd
Suite B
Trevose, PA 19053-6222

Mailing address

4979 Old Street Rd
Suite B
Trevose, PA 19053-6222
Phone (267) 288-5601

Other identifiers 4

IdentifierTypeStateIssuer
0698266000OtherPAAMERIHEALTH GROUP
0698266000OtherPAKEYSTONE GROUP
5561325OtherPAUSHC GROUP
0000755415OtherPABC/BS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040308000120 PA Part B Supplier - Clinic/Group Practice 3577451087 Receives reassigned benefits from 7 practitioners
Practice locations: Chalfont, PA; Trevose, PA
O20040915001048 NJ Part B Supplier - Clinic/Group Practice 3577451087 Receives reassigned benefits from 2 practitioners
Practice locations: Marlton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2042840Fox Chase Pain Management4979 Old Street Road, Suite B, Trevose, PA 19053AccreditationMar 14, 2027

National Provider Directory

National Provider Directory

Locations

261 Old York Rd
Ste 707
Jenkintown, PA 19046
Phone (215) 576-1800

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1881649416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 OLD STREET RD",
            "address_2": "SUITE B",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536222",
            "telephone_number": "267-288-5601",
            "fax_number": "267-288-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 OLD STREET RD",
            "address_2": "SUITE B",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536222",
            "telephone_number": "267-288-5601",
            "fax_number": "267-288-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-288-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD034707E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD008053E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP",
            "identifier": "0698266000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE GROUP",
            "identifier": "0698266000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC GROUP",
            "identifier": "5561325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "0000755415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.