NPIMap

Individual provider Active NPI

Alan Rosenzweig, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Palmyra, NJ
National Provider Identifier
1902883226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MB37478 Issued in NJ
Practice address
917 Cinnaminson Ave
Palmyra, NJ 08065-1817
Phone
(856) 829-8146
Fax
(856) 786-4442
NPI assigned
Dec 28, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MB37478 NJ Primary

Addresses

Primary practice location

917 Cinnaminson Ave
Palmyra, NJ 08065-1817

Mailing address

917 Cinnaminson Ave
Palmyra, NJ 08065-1817
Phone (856) 829-8146

Other identifiers 1

IdentifierTypeStateIssuer
3035905MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000034 NJ Practitioner - General PracticePractitioner - Family Practice 7517920614 Practice locations: Palmyra, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Cinnaminson Ave
Palmyra, NJ 08065-1817
Phone (609) 829-8146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB37478NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care at Marcella LLC PastSince Jul 1, 2021 Accepting new patients
Regional Physician Services, NJ, PC Past Accepting new patients
Alan Rosenzweig DO PA Geriatric Medicine PastSince Jan 1, 1990 Accepting new patients
Genesis Eldercare Physician Services LLC Past Accepting new patients
Complete Care at Burlington Woods LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Marcella LLCBurlington, NJ, CCN 315330 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021
Complete Care at Burlington Woods LLCBurlington, NJ, CCN 315050 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902883226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CINNAMINSON AVE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651817",
            "telephone_number": "856-829-8146",
            "fax_number": "856-786-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 CINNAMINSON AVE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651817",
            "telephone_number": "856-829-8146",
            "fax_number": "856-786-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB37478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, NJ

Sources for this page

Verify at the official NPI Registry.