Physician Compare National (NPI:1134142318)

HEALTHCARE PROVIDER: LEONARD E ROSENFELD DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134142318
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062681158
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111201000546
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSENFELD
	Individual professional last name
Provider First Name	LEONARD
	Individual professional first name
Provider Middle Name	E`
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1960
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3910 N POWELTON AVE
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191042613
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y