GARY ROSENBERG (NPI# 1467499186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467499186 |
| Entity Type | Individual |
| Full Name | GARY ROSENBERG |
| Credential | M.D. |
| Practice Address |
765 E Route 70 Suite A-100 Marlton NJ 08053-2341 |
| Mailing Address |
55 Blackburn Rd Summit NJ 07901-2407 |
| Practice Telephone | 8567974721 |
| Practice Fax Number | 8568100169 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA03206000 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437852 | Gary Rosenberg | Social Worker | 111 E 75th St Ofc 1a, New York, NY 10021-2816 | 2019-09-20 |
| 1619275203 | Gary Joel Rosenberg | Orthopaedic Surgery | 710 N Euclid St Ste 201, Anaheim, CA 92801-4122 | 2011-03-04 |
| 1730384439 | Gary A Rosenberg | Physical Therapist | 5449 Primavera Dr, Fort Mohave, AZ 86426-8000 | 2007-06-20 |
| 1255486783 | Gary Lawrence Rosenberg | Allergy & Immunology | 20 Crossroads Dr, Ste 16, Owings Mills, MD 21117-5419 | 2007-01-24 |
| 1629149687 | Gary A. Rosenberg | Neuromusculoskeletal Medicine & OMM | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| 1740389378 | Gary Nelson Rosenberg | Psychiatry & Neurology | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2006-09-21 |
| 1164532586 | Gary S Rosenberg | Obstetrics & Gynecology | 877 Stewart Ave, Suite 7, Garden City, NY 11530-4803 | 2006-08-30 |
| 1275549867 | Gary Rosenberg | Psychiatry & Neurology | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| Street Address |
765 E ROUTE 70 SUITE A-100 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881139251 | Lynn Kiernan | Social Worker | 765 E Route 70, Bldg A, Marlton, NJ 08053-2341 | 2016-12-21 |
| 1457801698 | Julie Cornelius | Counselor | 765 E Route 70, Marlton, NJ 08053-2341 | 2016-10-12 |
| 1982153334 | Marie Pierre | Registered Nurse | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2016-09-27 |
| 1962857847 | Alyssa Pirone | Social Worker | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2016-04-28 |
| 1851757306 | Megan Ault | Nurse Practitioner | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2016-01-13 |
| 1285099325 | Inpathy Behavioral Healthcare Group LLC | Psychiatry & Neurology | 765 E Route 70, Building A-100, Marlton, NJ 08053-2341 | 2015-12-16 |
| 1649645649 | Alisa B Miller | Social Worker | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2015-12-02 |
| 1124404348 | Nora Catherine Ciervo | Counselor | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2015-08-11 |
| 1649676305 | Michael A Zanotti | Nurse Practitioner | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2014-11-07 |
| 1336562552 | Carol Maute | Nurse Practitioner | 765 E Route 70, Bldg A, Marlton, NJ 08053-2341 | 2014-01-23 |
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| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
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| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053633164 | Deana Marie Bidey | Psychiatry & Neurology | 5000 Sagemore Dr Ste 205, Marlton, NJ 08053-4332 | 2010-02-17 |
| 1396946869 | Alexander Sangor Strauss | Psychiatry & Neurology | 5000 Sagemore Dr, Suite 205, Marlton, NJ 08053-4307 | 2007-05-30 |
| 1922218569 | Leonie S Prince | Psychiatry & Neurology | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2007-05-23 |
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| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
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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.