Active NPI
Dennis J Rosen, MD
- Developmental - Behavioral Pediatrics Physician
- Amherst, MA
National Provider Identifier
1962416461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 34822
- Practice address
- 157 Columbia Drive
Amherst, MA 01002 - Phone
- (413) 259-1777
- Fax
- (413) 253-1507
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 34822 | MA | Primary |
Addresses
Primary practice location
157 Columbia Drive
Amherst, MA 01002
Mailing address
157 Columbia Drive
Amherst, MA 01002
Phone (413) 259-1777
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 |
|---|---|---|---|
| 34822 | MA | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1962416461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 COLUMBIA DRIVE",
"city": "AMHERST",
"state": "MA",
"postal_code": "01002",
"telephone_number": "413-259-1777",
"fax_number": "413-253-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 COLUMBIA DRIVE",
"city": "AMHERST",
"state": "MA",
"postal_code": "01002",
"telephone_number": "413-259-1777",
"fax_number": "413-253-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "34822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.