Individual provider Active NPI

Robert A Rosenberg, MD

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, MA
National Provider Identifier
1972615094
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
76317 Issued in MA
Practice address
799 Concord Ave
Cambridge, MA 02138-1048
Phone
(617) 547-7163
Fax
(617) 547-7165
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 76317 MA Primary

Addresses

Primary practice location

799 Concord Ave
Cambridge, MA 02138-1048

Mailing address

92 Montvale Ave
Suite 3250
Stoneham, MA 02180-3647
Phone (781) 979-0140

Other practice location 1

92 Montvale Ave
Suite 3250
Stoneham, MA 02180-3647
Phone (781) 979-0140

Other identifiers 1

IdentifierTypeStateIssuer
3096891MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050426001184 MA Practitioner - Physical Medicine and Rehabilitation 2668411935 Reassigns benefits to 2 organizations
Practice locations: Cambridge, MA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 4, 2013 Accepting new patients
New England Spine Care Associates, LLC Physical Medicine & Rehabilitation CurrentSince Jul 18, 2006 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 4, 2013 Accepting new patients
New England Ambulatory Surgicenter, LLC PastSince Jun 13, 2006 Accepting new patients
Orthopedic Surgery, Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

799 Concord Ave
Cambridge, MA 02138
Phone (617) 547-7163

92 Montvale Ave
Ste 3250
Stoneham, MA 02180
Phone (617) 547-7163

2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050

Interoperability endpoints

  • Direct secure messaging: rrosenberg28893@tuftsmedicine.direct-ci.com
  • Direct secure messaging: rosenberg.robert@elincdirect.org

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1972615094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 3250",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-979-0140",
            "fax_number": "781-435-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381048",
            "telephone_number": "617-547-7163",
            "fax_number": "617-547-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Montvale Ave",
            "address_2": "Suite 3250",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803647",
            "country_code": "US",
            "telephone_number": "781-979-0140",
            "fax_number": "781-435-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "76317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096891",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.