DR. JERROLD N ROSENBERG (NPI# 1639175763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639175763 |
| Entity Type | Individual |
| Full Name | DR. JERROLD N ROSENBERG |
| Credential | MD |
| Practice Address |
827 N Main St Suite 6 Providence RI 02904-5751 |
| Practice Telephone | 4014535030 |
| Practice Fax Number | 4014535033 |
| Mailing Telephone | 4014535030 |
| Mailing Fax Number | 4014535033 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-09-19 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MD07222 | RI | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD7222 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NHP | 1570/4122 | 01 |
| RI | 9001134 | 05 | |
| RI | BCBSRI | 1134 | 01 |
| RI | BLUE CHIP | 200688 | 01 |
| Street Address |
827 N MAIN ST SUITE 6 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134551252 | Boston Therapy Inc | Specialist | 827 N Main St, Ste 6, Providence, RI 02904-5751 | 2013-07-31 |
| 1003004466 | Jerrold N Rosenberg.md Inc | Physical Medicine & Rehabilitation | 827 N Main St, Suite 6, Providence, RI 02904-5751 | 2007-10-11 |
| 1538387048 | Kaplan and Olchowski Medical Associates | Internal Medicine | 827 N Main St, Providence, RI 02904-5751 | 2007-04-22 |
| 1336155563 | Sheldon David Kaplan | Internal Medicine | 827 N Main St, Providence, RI 02904-5751 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992053938 | Shalini Meera Boodram | Physical Medicine & Rehabilitation | 593 Eddy St # 7a, Providence, RI 02903-4923 | 2012-08-23 |
| 1932492022 | Caroline Sizer | Physical Medicine & Rehabilitation | 765 Allens Ave Ste 110, Providence, RI 02905-5443 | 2011-05-23 |
| 1497741383 | Lorraine C Novich-welter | Physical Medicine & Rehabilitation | 267 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2005-09-26 |
| 1336412733 | Lori C. Novich-welter, M.d., P.C. | Physical Medicine & Rehabilitation | 267 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2012-02-15 |
| 1902187685 | Josef Seth Fields | Physical Medicine & Rehabilitation | 593 Eddy St, Providence, RI 02903-4923 | 2011-09-08 |
| 1316173123 | Lori Ann Merritt | Physical Medicine & Rehabilitation | 101 Dudley St, Providence, RI 02905-2401 | 2009-06-08 |
| 1003004466 | Jerrold N Rosenberg.md Inc | Physical Medicine & Rehabilitation | 827 N Main St, Suite 6, Providence, RI 02904-5751 | 2007-10-11 |
| 1518154079 | Claudia Ann Wheeler | Physical Medicine & Rehabilitation | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 | 2007-09-28 |
| 1073665535 | Paul Gauvin | Physical Medicine & Rehabilitation | 790 N Main St, Providence, RI 02904-5706 | 2007-01-17 |
| 1083787816 | Jon A Mukand | Physical Medicine & Rehabilitation | 21 Peace St, Providence, RI 02907-1510 | 2006-11-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.