NPIMap

Individual provider Active NPI

Jessica Aimee Rosen-Pries, MD

  • General Practice Physician
  • Wayne, PA
National Provider Identifier
1932251113
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD436336 Issued in PA
Practice address
110 West Lancaster Avenue, Suite 200
Wayne, PA 19087-4061
Phone
(610) 293-2229
Fax
(610) 293-2231
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 235921 NY
General Practice Physician 208D00000X MD436336 PA Primary
Pediatrics Physician 208000000X MD436336 PA

Addresses

Primary practice location

110 West Lancaster Avenue, Suite 200
Wayne, PA 19087-4061

Mailing address

P.O. Box 191
Rockland, DE 19723-0191
Phone (302) 651-4000

Other names 1

  • Jessica Rosen Other name

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

LicenseStateTypeSpecialty
235921NYMDPediatrics Physician
MD436336PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jrosenpries61535@direct.nemours.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1932251113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197230191",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST LANCASTER AVENUE, SUITE 200",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874061",
            "telephone_number": "610-293-2229",
            "fax_number": "610-293-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN-PRIES",
        "first_name": "JESSICA",
        "middle_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235921",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD436336",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD436336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.