Individual provider Active NPI

Pearl Rosenbaum, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1043233901
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1598861 Issued in NY
Practice address
3333 Henry Hudson Pkwy
Suite 5
Bronx, NY 10463-3224
Phone
(718) 548-5800
NPI assigned
Jul 25, 2006
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1598861 NY Primary

Addresses

Primary practice location

3333 Henry Hudson Pkwy
Suite 5
Bronx, NY 10463-3224

Mailing address

4665 Iselin Ave
Bronx, NY 10471-3321
Phone (203) 246-2632

Other identifiers 1

IdentifierTypeStateIssuer
01088366MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000622 NY Practitioner - OphthalmologyPractitioner - Pathology 6002870433 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Pathology
Education
Albert Einstein College of Medicine of Yeshiva University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19 Bradhurst Ave
Suite 2100N
Hawthorne, NY 10532-2140
Phone (914) 493-8375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1598861NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Ophthalmology CurrentSince Jan 1, 2006 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2006 Accepting new patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System Ophthalmology CurrentSince Dec 1, 2004 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 1, 2021 Accepting new patients
Bronxcare Health System CurrentSince Dec 1, 2004 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Westchester Medical Center Past Accepting new patients
Clearview Eye Surgery, PC Ophthalmology Past Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients
Harooni & Sheindlin MD PC PastSince Nov 12, 2004 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Ste 502
Bronx, NY 10461
Phone (718) 518-0060

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

2425 Eastchester Rd
Bronx, NY 10469
Phone (718) 231-5100

3333 Henry Hudson Pkwy
Ste 5
Bronx, NY 10463
Phone (718) 548-5800

19 Bradhurst Ave
Ste 2100N
Hawthorne, NY 10532
Phone (914) 493-8375

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

100 Woods Rd
Fl 3
Valhalla, NY 10595
Phone (914) 493-7518

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1043233901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 ISELIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713321",
            "telephone_number": "203-246-2632",
            "fax_number": "203-299-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-548-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1598861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01088366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.