Individual provider Active NPI

Marc J Rosenblatt, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spring Valley, NY
National Provider Identifier
1164422895
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
148797 Issued in NY
Practice address
873 N Main St Ste 102
Spring Valley, NY 10977-1905
Phone
(845) 521-1542
Fax
(845) 354-3808
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 148797 NY Primary

Addresses

Primary practice location

873 N Main St Ste 102
Spring Valley, NY 10977-1905

Mailing address

983 Haverstraw Rd
Suffern, NY 10901-2200
Phone (845) 825-6383

Other identifiers 2

IdentifierTypeStateIssuer
01453112MedicaidNY
101432500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040512000522 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8921097072 Reassigns benefits to 2 organizations
Practice locations: New City, NY
I20130215000334 NJ Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8921097072 Reassigns benefits to 2 organizations
I20181219000560 FL Practitioner - Pain Management 8921097072 Reassigns benefits to 1 organization
I20260518001896 TN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8921097072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ord Physiatry PCGroup PAC ID 1355232026, 3 clinicians

Practice addresses (Care Compare)

1280 Henley Rd
Middleburg, FL 32068-7886
Phone (904) 600-3798

200 S Pkwy W
Memphis, TN 38109-1645
Phone (415) 539-2868

873 Route 45
Suite 102
New City, NY 10956-1123
Phone (845) 521-1542

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
60.82
Improvement activities
40
Cost
62.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148797NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J. Rosenblatt, D.O., P.C. Single Specialty CurrentSince Jun 6, 2021 Accepting new patients
Newburgh Physician Services PC Single Specialty CurrentSince Aug 15, 2020 Accepting new patients
Physiatrists of New Jersey Single Specialty CurrentSince Aug 9, 2020 Accepting new patients
Vital Medical Care Aesthetics P.C. Single Specialty Past Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. Past Accepting new patients
Horizon Medical Group, P.C. PastSince Aug 17, 2025 Accepting new patients
J. Alexander Jarbath D.P.M., P.C. Single Specialty PastSince Jun 29, 2016 Accepting new patients
Pelham Physical Medicine Inc Single Specialty Past Accepting new patients
Empire Wound Physician Services, PLLC Single Specialty Past Accepting new patients
Crystal Run Medical Services PC Single Specialty Past Accepting new patients

Locations

32 Laurel Ave
Keansburg, NJ 07734
Phone (732) 787-8100

120 Noyes Dr
Park Ridge, NJ 07656
Phone (201) 505-1777

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

300 Old Hook Rd
Westwood, NJ 07675
Phone (201) 566-2675

1 Wingate Way
Highland, NY 12528
Phone (845) 561-4400

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

873 N Main St
#102
Spring Valley, NY 10977
Phone (845) 414-9115

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mrosenblatt131821@direct.leememorial.org
  • FHIR API: https://api.platform.athenahealth.com/8212/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1164422895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 HAVERSTRAW RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012200",
            "telephone_number": "845-825-6383",
            "fax_number": "845-354-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 N MAIN ST STE 102",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771905",
            "telephone_number": "845-521-1542",
            "fax_number": "845-354-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "MARC",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "148797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01453112",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101432500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.