Active NPI
Sean David Rosenblum, DPM
- Foot & Ankle Surgery Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005978
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 5041 |
| Removal or shaving of skin growth | 329 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005978 | NY | MD | Acupuncturist |
| N005978 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Forward Podiatry PC | Current | Accepting new patients | |
| Pedirite Medical PA PLLC | Current | Accepting new patients | |
| Rite Medical PLLC | Current | Accepting new patients | |
| Personalized Footcare PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Pedirite Medical NJ LLC | Current | 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.
-
- Podiatrist
- Staten Island, NY
- NPI 1487314332
-
- Foot & Ankle Surgery Podiatrist
- Yonkers, NY
- NPI 1417980459
-
- General Practice Physician
- Rhinebeck, NY
- NPI 1114536034
-
- Customized Equipment (DME)
- Bronx, NY
- NPI 1144492141
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1104152552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.