Provider Demographics
NPI:1598716441
Name:ROSENFELD, JONATHAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:F
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4431
Mailing Address - Country:US
Mailing Address - Phone:610-525-1000
Mailing Address - Fax:610-525-1001
Practice Address - Street 1:826 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4431
Practice Address - Country:US
Practice Address - Phone:610-525-1000
Practice Address - Fax:610-525-1001
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425767207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAR01743593OtherBS IND PROVIDER #
PAP00288433OtherRR MEDI IND PROVIDER #
PA2409324000OtherIBC INDIVIDUAL PROVIDER #
PA7796683OtherAETNA IND PROVIDER #
PAI28208Medicare UPIN
PAR01743593OtherBS IND PROVIDER #
PA0473490001Medicare NSC
PAP00288433OtherRR MEDI IND PROVIDER #
PA090286JJWMedicare ID - Type UnspecifiedMEDICARE IND PROVIDER #