Organization Active NPI

Richard L. Rosenblatt D.P.M.,PC

  • Podiatric Clinic/Center
  • Baltimore, MD
National Provider Identifier
1144547951
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
000635 Issued in MD
Legal business name
RICHARD L. ROSENBLATT D.P.M.,PC
Practice address
6606 Park Heights Ave Ste 9a
Baltimore, MD 21215-2732
Phone
(410) 358-0544
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Dr. Richard Lee Rosenblatt, D.P.M.NPI 1215964887
Title
Podiatrist/Sole Owner
Phone
(410) 358-0544

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
Podiatric Clinic/Center 261QP1100X 000635 MD Primary

Addresses

Primary practice location

6606 Park Heights Ave Ste 9a
Baltimore, MD 21215-2732

Mailing address

6606 Park Heights Ave Ste 9a
Baltimore, MD 21215-2732
Phone (410) 358-0544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100512000922 MD Part B Supplier - Clinic/Group Practice 2062540065 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1144547951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 PARK HEIGHTS AVE STE 9A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152732",
            "telephone_number": "410-358-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 PARK HEIGHTS AVE STE 9A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152732",
            "telephone_number": "410-358-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. ROSENBLATT D.P.M.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PODIATRIST/SOLE OWNER",
        "authorized_official_telephone_number": "410-358-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "000635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.