JONATHAN DANIEL ROSA D.C.
NPI 1609208164
Chiropractor in Bridgeport, CT

Active since August 06, 2013Accepts Medicare Assignment
955 MAIN ST APT 812, BRIDGEPORT, CT 06604(787) 559-4057 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Daniel Rosa D.c. NPPES

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

JONATHAN DANIEL ROSA D.C. (NPI 1609208164) is an individual chiropractor in Bridgeport, Connecticut, licensed in Connecticut (1949) and active in the NPI registry since August 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1609208164
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHAN DANIEL ROSACredential: D.C.
Location Address955 MAIN ST APT 812Bridgeport, CT 06604-4336
Mailing Address955 Main St Apt 812Bridgeport, CT 06604-4336 · (787) 559-4057
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2013
NPI 1609208164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CT · 1949
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
955 MAIN ST APT 812, Bridgeport, CT 06604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Daniel Rosa D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800233677
PECOS Enrollment IDI20240328002308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Rosa's NPI number?

The NPI number for Jonathan Rosa is 1609208164. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Jonathan Rosa located?

Jonathan Rosa practices at 955 Main St Apt 812, Bridgeport, CT 06604. The listed phone number is (787) 559-4057.

What is Jonathan Rosa's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jonathan Rosa enrolled in Medicare?

Yes. Jonathan Rosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Rosa was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.