Individual provider Active NPI

Debra L Rosenzweig, MD

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
National Provider Identifier
1972671170
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA56597 Issued in NJ
Practice address
2035 Hamburg Turnpike
Ste C
Wayne, NJ 07405
Phone
(913) 616-9395
Fax
(973) 839-2983
NPI assigned
Dec 4, 2006
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA56597 NJ Primary

Addresses

Primary practice location

2035 Hamburg Turnpike
Ste C
Wayne, NJ 07405

Mailing address

2035 Hamburg Turnpike
Ste C
Wayne, NJ 07405
Phone (913) 616-9395

Other identifiers 1

IdentifierTypeStateIssuer
5630509MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000080 NJ Practitioner - Obstetrics/Gynecology 8527228493 Practice locations: Wayne, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56597NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Debra L. Rosenzweig, M.D. Obstetrics & Gynecology PastSince Jul 5, 1996 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1972671170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TURNPIKE",
            "address_2": "STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07405",
            "telephone_number": "913-616-9395",
            "fax_number": "973-839-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TURNPIKE",
            "address_2": "STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07405",
            "telephone_number": "913-616-9395",
            "fax_number": "973-839-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA56597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.