MR. PHILLIP D ROSE (NPI# 1205021060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205021060 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP D ROSE |
| Credential | PA-C |
| Practice Address |
222 Cedar Lane Suite 120 Teaneck NJ 07666 |
| Mailing Address |
492c Cedar Ln Suite 120 Teaneck NJ 07666-1713 |
| Practice Telephone | 2018365332 |
| Practice Fax Number | 2018364002 |
| Mailing Telephone | 2013575468 |
| Mailing Fax Number | 2016367167 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00182600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467738054 | Phillip James Rose | Pharmacist | 3104 Dixie Hwy, Erlanger, KY 41018-1827 | 2011-10-26 |
| Street Address |
222 CEDAR LANE SUITE 120 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567103 | Jacinto Jose Fernandez | Specialist | 222 Cedar Lane, Suite 207, Teaneck, NJ 07666-4312 | 2005-06-10 |
| 1477812980 | Paula Maria Barcia-pena | Obstetrics & Gynecology | 222 Cedar Lane, Suite 207, Teaneck, NJ 07666-4312 | 2012-05-04 |
| 1750515227 | Hazel A. Brana-leon | Obstetrics & Gynecology | 222 Cedar Lane, Suite 204, Teaneck, NJ 07666-4245 | 2009-05-12 |
| 1144406521 | Eastern Orthopedic Associates, Md Pa | Orthopaedic Surgery | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2008-01-15 |
| 1790834026 | Iris Lehr | Physical Therapist | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2007-01-09 |
| 1568525772 | Cardiovascular Associates of Teaneck Pa | Internal Medicine | 222 Cedar Lane, Suite 309, Teaneck, NJ 07666 | 2006-12-18 |
| 1528079654 | James J. Hale | Orthopaedic Surgery | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2006-08-11 |
| 1932110970 | Brian J Bauer | Orthopaedic Surgery | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2006-08-11 |
| 1841201811 | John J Katona | Orthopaedic Surgery | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2006-08-11 |
| 1447261458 | Jeffrey Keith Steuer | Orthopaedic Surgery | 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679100382 | Leora Tuchman | Physician Assistant | 1480 W Terrace Cir Apt 2, Teaneck, NJ 07666-5232 | 2020-03-24 |
| 1467092478 | Leora Shamouilian | Physician Assistant | 58 Audubon Rd, Teaneck, NJ 07666-5524 | 2020-01-08 |
| 1144860289 | Elianna Strauss | Physician Assistant | 287 Rutland Ave, Teaneck, NJ 07666-2843 | 2020-01-07 |
| 1639712680 | Tamar Joseph | Physician Assistant | 17 Westgate Rd Apt D, Teaneck, NJ 07666-5044 | 2019-10-22 |
| 1558863712 | Aliza Bram | Physician Assistant | 957 Garrison Ave, Teaneck, NJ 07666-2642 | 2018-03-05 |
| 1760937866 | Alison Elizabeth Dripchak | Physician Assistant | 741 Teaneck Road, Suite B, Teaneck, NJ 07666 | 2016-08-18 |
| 1962754739 | Hannah R Feder | Physician Assistant | 275 Winthrop Rd, Teaneck, NJ 07666-3044 | 2012-10-03 |
| 1386809671 | Christina May Bongalos Salazar | Physician Assistant | 983 Palisade Ave, Teaneck, NJ 07666-3422 | 2008-07-25 |
| 1477758225 | Bernice Cheryl Zierler | Physician Assistant | 145 Cherry Ln, Teaneck, NJ 07666-4629 | 2007-06-20 |
| 1982759536 | Cindy Ann Roman | Physician Assistant | 718 Teaneck Rd., Advanced Interventional Rad. Services @ Holy Name Med., Teaneck, NJ 07666 | 2007-01-24 |
| Find all providers in TEANECK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.