JASON ROSENGARD (NPI# 1093376808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093376808 |
| Entity Type | Individual |
| Full Name | JASON ROSENGARD |
| Credential | PA-C |
| Practice Address |
212 Creek Crossing Blvd Hainesport NJ 08036-2766 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 6092671004 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
212 CREEK CROSSING BLVD |
| City | HAINESPORT |
| State | NJ |
| Zip Code | 08036-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629005798 | Thomas L Barnes | Surgery | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2006-06-26 |
| 1477183697 | Amy Liang | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2020-01-16 |
| 1669989372 | Gregory Rechner | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2018-01-03 |
| 1174034771 | Megan Lynne Wolf | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036 | 2017-10-23 |
| 1205291184 | Serafym Kashkalov | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2015-12-21 |
| 1508262940 | Robert C Perez | Surgery | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2014-11-12 |
| 1396090510 | Jeffrey Steven Emrich | Surgery | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2012-07-14 |
| 1447410014 | Gregg Michael Baranski | Colon & Rectal Surgery | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2008-06-16 |
| 1821157371 | Medford Surgical Practice | Specialist | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2006-12-08 |
| 1386745289 | Wilbur C Bobila | Surgery | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915736 | Anthony Nguyen | Physical Therapist | Plaza 38 Shopping Center, 1509 Route 38, Suite 4, Hainesport, Nj 08036, NJ 08036 | 2019-07-26 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1609198381 | Michel Hyppolite | Family Medicine | 18 Bancroft Lane, Hamesport, NJ 08036 | 2010-02-22 |
| 1700119765 | Christopher T. Taylor Dc, PC | Chiropractor | 1308 Rt 38, Hainesport, NJ 08036 | 2009-09-09 |
| 1457584864 | Ken Sing Cheng | Physical Therapist | 1299 Route 38, Suite 9, Hainesport, NJ 08036 | 2009-09-02 |
| 1659514438 | Christine Kirkbride | Counselor | 1289 Route 38 Ste 203, Hainesport, NJ 08036 | 2009-04-09 |
| 1992960991 | Roanna Espino Alcera | Family Medicine | 103 Creek Crossing Boulevard, Hainesport, NJ 08036 | 2008-07-19 |
| 1255526448 | H2 Rehabilitation Services of New Jersey, LLC | Clinic/Center | 300 Creek Crossing Blvd, Suite 308, Hainesport, NJ 08036 | 2007-09-11 |
| 1811197692 | Rebecca Knight Warren | Physical Therapist | Creek Crossing Blvd, Blding 100, Ste 107, Hainesport, NJ 08036 | 2007-07-20 |
| 1235213471 | Ross Center for Orthopedics, LLC | Orthopaedic Surgery | 300 Creek Crossing Boulevard, Suite 307, Hainesport, NJ 08036 | 2006-10-24 |
| Find all providers in zip 08036 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183697 | Amy Liang | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2020-01-16 |
| 1669989372 | Gregory Rechner | Physician Assistant | 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
| City | HAINESPORT |
| Zip Code | 08036 |
Please comment or provide details below to improve the information on JASON ROSENGARD.
| 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.