Individual provider Active NPI

Eric Rosenberg, D.P.M.

  • Podiatrist
  • Woodmere, NY
National Provider Identifier
1104981877
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004792-1 Issued in NY
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1042323OtherNYUNITED HEALTH CARE
1C6729OtherNYACS HEALTH PLAN
4950990001OtherNYMEDICARE DME
9131217OtherNYCIGNA HEALTH PLANS
01302785MedicaidNY
59872OtherNYVYTRA HEALTH PLANS
6200506OtherNYGROUP 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

LicenseStateTypeSpecialty
N004792-1NYMDPodiatrist
004792NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot Care of Long Islance, P.C. Podiatrist PastSince Nov 18, 1994 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.

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.

Verify at the official NPI Registry.