Active NPI
Jerome Rosenthal, M.D.
- Rheumatology Physician
- Southfield, MI
National Provider Identifier
1922083591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301036655
- Practice address
- 28625 Northwestern Hwy
Suite 223
Southfield, MI 48034-1828 - Phone
- (248) 350-3190
- Fax
- (248) 350-3245
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301036655 | MI | Primary |
Addresses
Primary practice location
28625 Northwestern Hwy
Suite 223
Southfield, MI 48034-1828
Mailing address
28625 Northwestern Hwy
Suite 223
Southfield, MI 48034-1828
Phone (248) 350-3190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4639329 | Medicaid | MI | |
| C1393 | Other | MI | M'CARE |
| 0630127 | Other | MI | BCBS INDIVIDUAL |
| 109680 | Other | MI | CARE-PREFERRED CHOICES |
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 |
|---|---|---|---|
| 4301036655 | MI | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922083591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28625 NORTHWESTERN HWY",
"address_2": "SUITE 223",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341828",
"telephone_number": "248-350-3190",
"fax_number": "248-350-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28625 NORTHWESTERN HWY",
"address_2": "SUITE 223",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341828",
"telephone_number": "248-350-3190",
"fax_number": "248-350-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301036655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4639329",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M'CARE",
"identifier": "C1393",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "0630127",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE-PREFERRED CHOICES",
"identifier": "109680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.