Individual provider Active NPI

Jessica Kaplan Rosenblum, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1093098725
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
267690 Issued in NY
Practice address
1400 Pelham Pkwy S
Jacobi Medical Center, Department of Radiology
Bronx, NY 10461-1138
Phone
(718) 918-4595
NPI assigned
Sep 20, 2011
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 267690 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Jacobi Medical Center, Department of Radiology
Bronx, NY 10461-1138

Mailing address

1400 Pelham Parkway, Jacobi Medical Center
Department of Radiology, Building 1, 4N15
Bronx, NY 10461

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
I20131028001817 NY Practitioner - Diagnostic Radiology 1052546017 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267690NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 27, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 27, 2021 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

3750 72nd St
Jackson Heights, NY 11372
Phone (646) 615-7800

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: jrosenblum250526@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1093098725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY, JACOBI MEDICAL CENTER",
            "address_2": "DEPARTMENT OF RADIOLOGY, BUILDING 1, 4N15",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "JACOBI MEDICAL CENTER, DEPARTMENT OF RADIOLOGY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "JESSICA",
        "middle_name": "KAPLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "267690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.