DR. JENNIFER LEIGH ROSENBLUM (NPI# 1316998107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316998107 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LEIGH ROSENBLUM |
| Credential | MD |
| Practice Address |
40 2nd Ave Ste 300 Mgh West Waltham MA 02451-1136 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6176431201 |
| Practice Fax Number | 6172436798 |
| Mailing Telephone | 6176431201 |
| Mailing Fax Number | 6177241201 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 209839 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
209839 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0197629 | 05 | |
| MA | BCBS MA | J25140 | 01 |
| MA | TUFTS HEALTH PLAN | 209839 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990549 | Jennifer Rosenblum | Behavioral Analyst | 151 Knox Ct, Holland, PA 18966-2756 | 2012-04-11 |
| 1427336189 | Jennifer Paige Rosenblum | Counselor | 1200 Villa Pl, Suite 410, Nashville, TN 37212-3033 | 2011-07-29 |
| 1831222124 | Jennifer Rosenblum | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-03-14 |
| Street Address |
40 2ND AVE STE 300 MGH WEST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1205992989 | Ambama Clinic PC | Internal Medicine | 56 Cottage Grove Ave, Brockton, MA 02301-6347 | 2006-12-28 |
| 1174545875 | Partners Community Physicians Organization Inc | Internal Medicine | 80 Beharrell St, Concord, MA 01742-1739 | 2006-07-24 |
| 1396714499 | Lynn Ellen Jumper | Internal Medicine | 727 Main St, Melrose, MA 02176 | 2006-03-14 |
| 1326039603 | Ellen Senghas | Internal Medicine | 76b Carlon Dr, Northampton, MA 01060-2373 | 2005-11-04 |
| 1154317089 | Spyridon Kantas | Internal Medicine | 63 Park Street, Andover, MA 01810 | 2005-09-26 |
| 1588824601 | Kathleen Townes | Internal Medicine | 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 | 2008-06-12 |
| 1821258179 | Bryon A. Gentile | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2008-06-11 |
| 1427186428 | Ashish Gandhi Md PC | Internal Medicine | 451 Andover St Ste G11, North Andover, MA 01845 | 2007-03-01 |
| 1093840779 | Thomas I. Nary | Internal Medicine | 140 Commonwealth Ave, Boston College Health Services Cushing Hall, Chestnut Hill, MA 02467-3800 | 2007-02-22 |
| 1780761312 | Jonathan M Mansbach | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.