DR. DAVID MARK ROSENHECK MD
NPI 1811995046
Internal Medicine - Gastroenterology in Edison, NJ

Q: What is David Rosenheck's NPI number?

The NPI number for David Rosenheck is 1811995046. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is David Rosenheck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for David Rosenheck was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 July 12, 2005PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

205 MAY ST, SUITE 201, EDISON, NJ 08837(732) 661-9225(732) 661-9259 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, Jun 3, 2025, Nov 2, 2023 and 3 more (6 updates tracked since 2022).

On this page

About Dr. David Mark Rosenheck Md NPPES

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

DR. DAVID MARK ROSENHECK MD (NPI 1811995046) is an individual gastroenterology provider in Edison, New Jersey, licensed in New Jersey (MA46307) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Rutgers New Jersey Medical School (1984).

NPPES Registry Identity

NPI1811995046

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DAVID MARK ROSENHECKCredential: MD

Location Address205 MAY ST, SUITE 201Edison, NJ 08837-3267

Mailing Address3600 Route 66 Fl 3Neptune, NJ 07753-2645 · (732) 807-0877 · Fax (201) 751-1680

Phone(732) 661-9225

Fax(732) 661-9259

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1984

Enumeration DateJuly 12, 2005

Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1811995046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA46307

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

205 MAY ST, Edison, NJ 08837

Open in Google Maps ↗

Other Identifiers 1

Medicaid1909908NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Mark Rosenheck Md 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 ID2668424318

PECOS Enrollment IDI20100920000018

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.

Medicare Billing Reassignment

Medicare enrollment records show David Rosenheck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC

18 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

754 services506 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

251 services194 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

174 services173 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

167 services112 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

134 services133 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

119 services119 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

114 services114 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

95 services95 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

64 services62 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

54 services54 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

23 services19 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

16 services16 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.72

Promoting Interoperability

Improvement Activities

Cost

57.21

Other Providers at the Same Location NPPES 14

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

SEEMA HANDA NAYYAR DO

Anesthesiology

205 MAY ST, SUITE 103
EDISON, NJ 08837

Middlesex County (732) 826-4177

DR. MARC RAFAEL WOLFMAN MD

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

DR. MICHAEL SCOTT GOLDBERG MD

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

DR. JOSHUA M ZIMMERMAN MD

Orthopaedic Surgery

205 MAY ST, STE 202
EDISON, NJ 08837

Middlesex County (908) 757-1520

MRS. KAREN LYNN CHAREN PT

Physical Therapist

205 MAY ST, SUITE 101
EDISON, NJ 08837

Middlesex County (908) 757-1522

CARMELINO C PAYUMO MD

Anesthesiology

205 MAY ST, SUITE 103
EDISON, NJ 08837

Middlesex County (732) 661-9075

ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA

Orthopaedic Surgery

205 MAY ST, SUITE 202
EDISON, NJ 08837

Middlesex County (908) 757-1520

GASTROENTEROLOGY CONSULTANTS, P.A.

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

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 David Rosenheck's NPI number?

The NPI number for David Rosenheck is 1811995046. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is David Rosenheck located?

David Rosenheck practices at 205 May St Suite 201, Edison, NJ 08837. The listed phone number is (732) 661-9225.

What is David Rosenheck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Rosenheck enrolled in Medicare?

Yes. David Rosenheck 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.

Which organization bills Medicare for David Rosenheck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rosenheck reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Rosenheck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Rosenheck accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list David Rosenheck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Rosenheck affiliated with any hospitals?

According to CMS data, David Rosenheck is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for David Rosenheck was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.