| Jason Rosengard, PA-C | |
|
212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 | |
| (609) 267-1004 | |
| Not Available |
| Full Name | Jason Rosengard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 212 Creek Crossing Blvd, Hainesport, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093376808 | NPI | - | NPPES |
| 0692069 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 25MP00528800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Virtua Mount Holly Hospital | Mount holly, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1678 |
| Kennedy Medical Group Practice, P.c. | 2860616877 | 417 |
| Entity Name | Cooper Surgical Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
| Entity Name | Virtua Medical Group, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Entity Name | Kennedy Medical Group Practice, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Rosengard, PA-C 7 Chelsea Ct, Medford, NJ 08055-4039 Ph: (856) 625-4916 | Jason Rosengard, PA-C 212 Creek Crossing Blvd, Hainesport, NJ 08036-2766 Ph: (609) 267-1004 |
Amanda Ciavaglia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-1004 |
Drew Polhemus, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-2333 Fax: 609-267-2533 |
Blake Feingold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-1004 |
Laura Blake Roth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd., Hainesport, NJ 08036 Phone: 856-206-4795 |
Danielle Marie Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-261-5800 Fax: 609-261-5801 |
Revti Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17 Patriot Way, Hainesport, NJ 08036 Phone: 609-556-2371 |
Megan Selnek, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404b Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-845-3988 Fax: 609-914-4907 |