Individual provider Active NPI

Sean David Rosenblum, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1154345924
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005978 Issued in NY
Practice address
820 Lydig Ave
Bronx, NY 10462-2106
Phone
(718) 792-5900
Fax
(718) 931-9324
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005978 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00278900 NJ

Addresses

Primary practice location

820 Lydig Ave
Bronx, NY 10462-2106

Mailing address

820 Lydig Ave
Bronx, NY 10462-2106
Phone (718) 792-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050318000283 NJ Practitioner - Podiatry 3577518976 Reassigns benefits to 1 organization
I20061108000272 NY Practitioner - Podiatry 3577518976 Reassigns benefits to 4 organizations
I20250204002292 PA Practitioner - Podiatry 3577518976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical NJ LLCGroup PAC ID 1052743184, 14 clinicians

Practice addresses (Care Compare)

28 Washington St
Columbia, NJ 07832-2324
Phone (212) 764-0008

378 Syosset Woodbury Rd
Woodbury, NY 11797-1200
Phone (718) 792-5900

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue5041
Removal or shaving of skin growth329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005978NYMDAcupuncturist
N005978NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry PC CurrentSince Mar 1, 2025 Accepting new patients
Pedirite Medical PA PLLC CurrentSince Oct 24, 2024 Accepting new patients
Rite Medical PLLC CurrentSince Nov 1, 2020 Accepting new patients
Personalized Footcare PC Foot & Ankle Surgery CurrentSince May 6, 2018 Accepting new patients
Pedirite Medical NJ LLC CurrentSince Jul 10, 2020 Accepting new patients
Jay M Purvin, DPM Foot & Ankle Surgery Past Accepting new patients
Main St Footcare, PLLC Past Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869

666 Kappock St
Bronx, NY 10463
Phone (718) 549-1203

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

970 N Broadway
Ste 308B
Yonkers, NY 10701
Phone (914) 423-8000

301 Valley View Blvd
Altoona, PA 16602
Phone (715) 944-0845

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Organizations & group practices 9

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1154345924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622106",
            "telephone_number": "718-792-5900",
            "fax_number": "718-931-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622106",
            "telephone_number": "718-792-5900",
            "fax_number": "718-931-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "SEAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005978",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00278900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.