Physician Compare National (NPI:1306905823)

HEALTHCARE PROVIDER: JILL C ROSENSTOCK M.D.

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

Individual Professional Information
NPI	1306905823
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890988711
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101022000990
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSENSTOCK
	Individual professional last name
Provider First Name	JILL
	Individual professional first name
Provider Middle Name	CAROL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	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	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MEDPEDS, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9537352554
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7350 VAN DUSEN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LAUREL
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207075267
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3014988880
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y