Dr. Paul S. Rosen, D.M.D., M.S.
Dentist, Periodontics in Yardley, PA. Individual provider (NPI-1).
NPI number1134553449
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1134553449
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul S. Rosen
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2013
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Jun 22, 2015 to Jun 22, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DS026156-L | PA | Yes |
| 1223P0300X | Dentist, Periodontics | 014690 | NY | |
| 1223P0300X | Dentist, Periodontics | 22DI01643900 | NJ | |
| 1223P0300X | Dentist, Periodontics | 041690 | NY |
Practice location
907 Floral Vale BlvdYardley, PA 19067-5515
Phone 215-579-0907 · Fax 215-579-5925
Mailing address
907 Floral Vale BlvdYardley, PA 19067-5515
Phone 215-579-0907 · Fax 215-579-5925
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