Active NPI
Bruce Lawrence Rosen, DO
- Gastroenterology Physician
- Englewood Cliffs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MB04638900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480029 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB04638900 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.