Individual provider Active NPI

Brent Hayden Rosenthal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Freehold, NJ
National Provider Identifier
1053495887
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01339 Issued in NJ
Practice address
800 W Main St
Suite 101
Freehold, NJ 07728-2554
Phone
(732) 577-1222
Fax
(732) 577-9821
NPI assigned
Oct 25, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD01339 NJ
Public Medicine Podiatrist 213EP0504X MD01339 NJ
Primary Podiatric Medicine Podiatrist 213EP1101X MD01339 NJ
Radiology Podiatrist 213ER0200X MD01339 NJ
Sports Medicine Podiatrist 213ES0000X MD01339 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X MD01339 NJ Primary
Foot Surgery Podiatrist 213ES0131X MD01339 NJ

Addresses

Primary practice location

800 W Main St
Suite 101
Freehold, NJ 07728-2554

Mailing address

800 W Main St
Suite 101
Freehold, NJ 07728-2554
Phone (732) 577-1222

Other identifiers 1

IdentifierTypeStateIssuer
2231000MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000525 NJ Practitioner - Podiatry 8022149913 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Main St
Suite 101
Freehold, NJ 07728-2555
Phone (732) 577-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue174
Removal of skin lesions1-10
Removal of nail tissue890
Removal or shaving of skin growth206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01339NJMDSports Medicine Podiatrist

Interoperability endpoints

  • Direct secure messaging: brosenthal425430@direct.ahsys.org

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1053495887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282554",
            "telephone_number": "732-577-1222",
            "fax_number": "732-577-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282554",
            "telephone_number": "732-577-1222",
            "fax_number": "732-577-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "BRENT",
        "middle_name": "HAYDEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01339",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD01339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.