Individual provider Active NPI

Julie Rothstein Rosenbaum, MD

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1043284540
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038944 Issued in CT
Practice address
1450 Chapel St
Adult Primary Care Center
New Haven, CT 06511-4405
Phone
(203) 789-4044
Fax
(203) 789-3007
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038944 CT Primary

Addresses

Primary practice location

1450 Chapel St
Adult Primary Care Center
New Haven, CT 06511-4405

Mailing address

1450 Chapel St
Adult Primary Care Center
New Haven, CT 06511-4405
Phone (203) 789-4044

Other names 1

  • Julie Rothstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100202000234 CT Practitioner - Internal Medicine 2163565946 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038944CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Yale University CurrentSince Jul 1, 2014 Accepting new patients
Yale University CurrentSince May 6, 2019 Accepting new patients

Locations

1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: jrosenbaum@direct.wtbyhosp.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1043284540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "ADULT PRIMARY CARE CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-4044",
            "fax_number": "203-789-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "ADULT PRIMARY CARE CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-4044",
            "fax_number": "203-789-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "JULIE",
        "middle_name": "ROTHSTEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ROTHSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.