Active NPIIndividual provider

Jessica Rosenthal, PA

Physician Assistant, Medical in Providence, Rhode Island

NPI Number1215944590
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-272-0538
Last updated
August 25, 2014

Jessica Rosenthal is a Physician Assistant, Medical based in Providence, RI. Jessica Rosenthal practices in Providence, RI and has the professional credentials of PA. The NPI Number for Jessica Rosenthal is 1215944590 and holds a License No. 1367 (MA). The current practice location address for Jessica Rosenthal is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-519-1604 and via fax at 401-272-0538.

Provider Profile Details

NPI Number
1215944590
Provider Name
Jessica Rosenthal
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-519-1604
Fax Number
401-272-0538
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2006
Last Update Date
August 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-519-1604
Fax Number
401-272-0538
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
Po Box 9484
Providence, RI 02940-9484
City
Providence
State
RI
Zip
02940-9484
Phone Number
401-854-2508
Fax Number
401-854-2519

License Information

License Number (1)
1367
License State (1)
MA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
PA00350
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
1116
License State (3)
CT
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Rosenthal, PA?

The NPI number of Jessica Rosenthal, PA is 1215944590. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Jessica Rosenthal, PA?

Jessica Rosenthal, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1367.

Where does Jessica Rosenthal, PA practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-519-1604 (phone) or 401-272-0538 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215944590 directly on the NPPES registry website.

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