Individual provider Active NPI

Daniel Rosenbaum, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1194802579
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
159885 Issued in NY
Practice address
450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone
(718) 270-2051
Fax
(718) 270-3840
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 159885 NY Primary
Vascular Neurology Physician 2084V0102X 159885 NY

Addresses

Primary practice location

450 Clarkson Ave
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2056
Phone (718) 270-2051

Other identifiers 1

IdentifierTypeStateIssuer
01084904MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000610 NY Practitioner - NeurologyPractitioner - Vascular Surgery 1456458553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-3188

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

National Provider Directory

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

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jun 10, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Neurology CurrentSince Jan 1, 2012 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jan 1, 2012 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Montefiore Medical Center Neurology Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

445 Lenox Rd
#71
Brooklyn, NY 11203
Phone (718) 270-2030

450 Clarkson Ave
#1262
Brooklyn, NY 11203
Phone (718) 270-7379

Networks

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

Interoperability endpoints

  • Direct secure messaging: danielrosenbaum@mai.allscriptsdirect.net
  • Direct secure messaging: danielrosenbaum@sunydmc.allscriptsdirect.net
  • Direct secure messaging: drosenbaum1135764@nychhc.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1194802579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1262",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-2051",
            "fax_number": "718-270-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-2051",
            "fax_number": "718-270-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "159885",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "159885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01084904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.