Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Phillip D Rose, PA-C

Individual provider Physician Assistant · NPI 1205021060

Mr. Phillip D Rose, PA-C is a Physician Assistant in Teaneck, New Jersey. Qualified in 2007, 19 years ago. Practices with Eastern Orthopedic Associates MD PA, a 7-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
19
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 Cedar Ln Ste 120
Teaneck, NJ 07666
Phone: (201) 836-5332
Fax: (201) 836-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00182600 (NJ)

Record details

NPI number1205021060
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2007
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Eastern Orthopedic Associates Md Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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