Individual provider Active NPI

David Peter Rosenzweig, DPM

  • Podiatrist
  • Rye Brook, NY
National Provider Identifier
1083676654
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0034311 Issued in NY
Practice address
90 S Ridge St
Ste LL7
Rye Brook, NY 10573-2867
Phone
(914) 937-7077
Fax
(914) 937-7677
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0034311 NY Primary

Addresses

Primary practice location

90 S Ridge St
Ste LL7
Rye Brook, NY 10573-2867

Mailing address

90 South Ridge St
Ste LL7
Rye Brook, NY 10573-2867
Phone (914) 937-7077

Other identifiers 1

IdentifierTypeStateIssuer
00763873MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000853 NY Practitioner - Podiatry 9830155142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Forme Medical Center, Inc.Group PAC ID 5294899753, 7 clinicians

Practice addresses (Care Compare)

7 -11 S Broadway
White Plains, NY 10601-3531
Phone (914) 723-4900

90 S Ridge St
Rye Brook, NY 10573-2836
Phone (914) 937-7077

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions93
Removal of nail tissue721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003431NYMDBehavioral Analyst
N0034311NYMDPodiatrist

Networks

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

Organizations & group practices 2

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 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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1083676654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTH RIDGE ST",
            "address_2": "STE LL7",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-7077",
            "fax_number": "914-937-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST",
            "address_2": "STE LL7",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-7077",
            "fax_number": "914-937-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0034311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.