Individual provider Active NPI

Dionys Jacob Rosenbaum, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1235248311
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1335431 Issued in NY
Practice address
1310 48TH St
Suite 207
Brooklyn, NY 11219-3153
Phone
(718) 436-8988
Fax
(718) 435-8861
NPI assigned
Aug 30, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1335431 NY Primary

Addresses

Primary practice location

1310 48TH St
Suite 207
Brooklyn, NY 11219-3153

Mailing address

1310 48TH St
Suite 207
Brooklyn, NY 11219-3153
Phone (718) 436-8988

Other identifiers 1

IdentifierTypeStateIssuer
00279694MedicaidNY

Other names 1

  • Jacob Dionys Rosenbaum Professional name

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
I20050105000274 NY Practitioner - Ophthalmology 0345298592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reich Medical and Surgical Eyecare LLCGroup PAC ID 7113819004, 3 clinicians

Practice addresses (Care Compare)

1310 48TH St
Suite 207
Brooklyn, NY 11219-3153
Phone (718) 436-8955

1807 Ave P
Apt 1
Brooklyn, NY 11229-1337
Phone (718) 332-6200

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
48.87
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
83.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1335431NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reich Medical and Surgical Eyecare, LLC Ophthalmology CurrentSince Jun 1, 2015 Accepting new patients
Daniel a. Klapper, M.D.,P.C. Ophthalmology Past Accepting new patients

Networks

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1235248311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 48TH ST",
            "address_2": "SUITE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193153",
            "telephone_number": "718-436-8988",
            "fax_number": "718-435-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 48TH ST",
            "address_2": "SUITE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193153",
            "telephone_number": "718-436-8988",
            "fax_number": "718-435-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "DIONYS",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1335431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "ROSENBAUM",
            "middle_name": "DIONYS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.