Carol Rosenbaum, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

178996 Issued in NY

Practice address

1185 Park Ave
New York, NY 10128-1308

Phone

(212) 410-4848

Fax

(212) 996-0779

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1225051923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 93RD ST",
            "address_2": "APT. 16A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259313",
            "telephone_number": "212-410-4848",
            "fax_number": "212-996-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281308",
            "telephone_number": "212-410-4848",
            "fax_number": "212-996-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "178996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01505673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Paloma Rosenbaum, DACM, LAC
• Alfred Rosenbaum, M.D.
• Allison Rosenbaum
• Arthur Rosenbaum, DPM
• Ayala Rosenbaum, M.D.
• Daniel Rosenbaum, MD
• Emily Rachel Rosenbaum, OTR
• Evan Rosenbaum
• Genevieve Rosenbaum, PHD
• Jennifer Beth Rosenbaum, DMD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.