Individual provider Active NPI

Regina Rosenbaum-Altman

  • Specialist
  • Millwood, NY
National Provider Identifier
1043029580
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
$$$$$$$$$ Issued in NY
Practice address
2 Glen Wood Rd
Millwood, NY 10546-1005
Phone
(914) 980-2139
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X $$$$$$$$$ NY Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Glen Wood Rd
Millwood, NY 10546-1005

Mailing address

2 Glen Wood Rd
Millwood, NY 10546-1005
Phone (914) 980-2139

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2024.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1043029580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GLEN WOOD RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461005",
            "telephone_number": "914-980-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GLEN WOOD RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461005",
            "telephone_number": "914-980-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM-ALTMAN",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.