Individual provider Active NPI

Bruce Lawrence Rosen, DO

  • Gastroenterology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1922158591
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB04638900 Issued in NJ
Practice address
910 Sylvan Ave Ste 210
Englewood Cliffs, NJ 07632-3305
Phone
(201) 796-5400
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB04638900 NJ
Gastroenterology Physician 207RG0100X 25MB04638900 NJ Primary

Addresses

Primary practice location

910 Sylvan Ave Ste 210
Englewood Cliffs, NJ 07632-3305

Mailing address

200 Engle Street
Suite 26
Englewood, NJ 07631
Phone (201) 567-5546

Other practice location 1

200 Engle Street
Suite 26
Englewood, NJ 07631
Phone (201) 567-5546

Other identifiers 1

IdentifierTypeStateIssuer
0480029MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120123000103 NJ Practitioner - Internal MedicinePractitioner - Gastroenterology 8820265473 Reassigns benefits to 1 organization
Practice locations: Englewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

910 Sylvan Ave
Suite 210
Englewood Cliffs, NJ 07632-3305
Phone (201) 796-5400

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB04638900NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

910 Sylvan Ave
Ste 210
Englewood Cliffs, NJ 07632
Phone (201) 408-6166

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1922158591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENGLE STREET",
            "address_2": "SUITE 26",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-5546",
            "fax_number": "201-567-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SYLVAN AVE STE 210",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323305",
            "telephone_number": "201-796-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Engle Street",
            "address_2": "Suite 26",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "07631",
            "country_code": "US",
            "telephone_number": "201-567-5546",
            "fax_number": "201-567-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "BRUCE",
        "middle_name": "LAWRENCE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB04638900",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB04638900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480029",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.