Individual provider Active NPI

Ethan Alfred Rosenblatt, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1053766014
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
323140 Issued in LA
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-7511
Fax
(504) 842-2644
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 323140 LA
Internal Medicine Physician 207R00000X 323140 LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

Stony Brook Department Of Pediatrics
HSC T-11, Room 040
Stony Brook, NY 11794-8111
Phone (631) 444-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201007003179 LA Practitioner - Hospitalist 8325467590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Tulane University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Hospital & facility affiliations

  • Ochsner Home Health of New Orleans Home health agency, Metairie, LA, CCN 197203
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323140LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Dec 28, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 14, 2020 Accepting new patients
Mayfair Physician Services, LLC Internal Medicine CurrentSince Dec 28, 2021 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 14, 2020 Accepting new patients
Ochsner Clinic Foundation Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: erosenblatt298688@direct.ochsner.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1053766014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-7511",
            "fax_number": "504-842-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Stony Brook Department Of Pediatrics",
            "address_2": "HSC T-11, Room 040",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948111",
            "country_code": "US",
            "telephone_number": "631-444-2020",
            "fax_number": "631-444-2894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "ETHAN",
        "middle_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "323140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "323140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.