Individual provider Active NPI

Ross Rosen, JD, MSTOM, LAC, CA,

  • Acupuncturist
  • Westfield, NJ
National Provider Identifier
1902952492
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
NJ25MZ000020500 Issued in NJ
Practice address
166 Mountain Ave
Westfield, NJ 07090-3131
Phone
(908) 654-4333
Fax
(908) 654-4633
NPI assigned
Jan 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NJ25MZ000020500 NJ Primary

Addresses

Primary practice location

166 Mountain Ave
Westfield, NJ 07090-3131

Mailing address

166 Mountain Ave
Westfield, NJ 07090-3131
Phone (908) 654-4333

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)
Not enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
NJ25MZ000020500NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Acupuncture and Herbal Medicine, P.a. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902952492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MOUNTAIN AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903131",
            "telephone_number": "908-654-4333",
            "fax_number": "908-654-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MOUNTAIN AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903131",
            "telephone_number": "908-654-4333",
            "fax_number": "908-654-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ROSS",
        "credential": "JD, MSTOM, LAC, CA,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "NJ25MZ000020500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.