Active NPI
Eric Rosenberg, D.P.M.
- Podiatrist
- Woodmere, NY
National Provider Identifier
1104981877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004792-1
- Practice address
- 821 Woodmere CT
Apt. 1C
Woodmere, NY 11598-2552 - Phone
- (516) 295-0825
- Fax
- (516) 295-0825
- NPI assigned
- Dec 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004792-1 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | N004792-1 | NY |
Addresses
Primary practice location
821 Woodmere CT
Apt. 1C
Woodmere, NY 11598-2552
Mailing address
821 Woodmere CT
Apt. 1C
Woodmere, NY 11598-2552
Phone (516) 295-0825
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042323 | Other | NY | UNITED HEALTH CARE |
| 1C6729 | Other | NY | ACS HEALTH PLAN |
| 4950990001 | Other | NY | MEDICARE DME |
| 9131217 | Other | NY | CIGNA HEALTH PLANS |
| 01302785 | Medicaid | NY | |
| 59872 | Other | NY | VYTRA HEALTH PLANS |
| 6200506 | Other | NY | GROUP HEALTH INCORPORATED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004792-1 | NY | MD | Podiatrist |
| 004792 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot Care of Long Islance, P.C. | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Woodmere, NY
- NPI 1194856757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104981877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 WOODMERE CT",
"address_2": "APT. 1C",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982552",
"telephone_number": "516-295-0825",
"fax_number": "516-295-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 WOODMERE CT",
"address_2": "APT. 1C",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982552",
"telephone_number": "516-295-0825",
"fax_number": "516-295-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ERIC",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004792-1",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004792-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1042323",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTH PLAN",
"identifier": "1C6729",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "4950990001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLANS",
"identifier": "9131217",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01302785",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "59872",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INCORPORATED",
"identifier": "6200506",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.