Organization Active NPI

Marc a Rosenblatt MD LLC

  • Specialist
  • New York, NY
National Provider Identifier
1124220207
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
154949 Issued in NY
Legal business name
MARC A ROSENBLATT MD LLC
Practice address
114 E 72ND St
New York, NY 10021-4245
Phone
(212) 472-8546
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Marc Rosenblatt, MDNPI 1952392466
Title
Director
Phone
(212) 472-8546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 154949 NY Primary

Addresses

Primary practice location

114 E 72ND St
New York, NY 10021-4245

Mailing address

114 E 72ND St
New York, NY 10021-4245
Phone (212) 472-8546

Other identifiers 1

IdentifierTypeStateIssuer
05899OtherNYGHI-MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000099 NY Part B Supplier - Clinic/Group Practice 1951205954 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson Heights, NY; New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Marc a Rosenblatt MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9 E 75th St
Ste 1C
New York, NY 10021
Phone (212) 472-8546

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1124220207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214245",
            "telephone_number": "212-472-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214245",
            "telephone_number": "212-472-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A ROSENBLATT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-472-8546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "154949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-MEDICARE",
            "identifier": "05899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.