Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE ROSEN
NPI 1073280350
Counselor - Professional in Eastampton Township, NJ

Q: What is Jesse Rosen's NPI number?

The NPI number for Jesse Rosen is 1073280350. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Q: What is Jesse Rosen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Rosen was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2021PECOS Enrolled

6102 HAMILTON WAY, EASTAMPTON TOWNSHIP, NJ 08060(484) 515-6125(609) 400-4888 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Aug 25, 2021 (2 updates tracked since 2021).

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About Jesse Rosen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE ROSEN (NPI 1073280350) is an individual professional provider in Eastampton Township, New Jersey, licensed in New Jersey (37PC01053900) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073280350

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJESSE ROSEN

Location Address6102 HAMILTON WAYEastampton Township, NJ 08060-1673

Mailing Address310 Cedar LnMount Laurel, NJ 08054-2166

Phone(484) 515-6125

Fax(609) 400-4888

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 25, 2021

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1073280350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NJ · 37PC01053900

6102 HAMILTON WAY, Eastampton Township, NJ 08060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Rosen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648718411

PECOS Enrollment IDI20240813000435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERSTEN MCKENZIE GARCIA-MORAN

Counselor (Mental Health)