NPIMap

Individual provider Active NPI

Leonid Rozenbaum, RDN, CSR, CDN, LD/N

  • Renal Nutrition Registered Dietitian
  • Greenacres, FL
National Provider Identifier
1245481233
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
ND6583 Issued in FL
Practice address
220 Foxtail Dr Apt F
Greenacres, FL 33415-6190
Phone
(561) 352-9858
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 003565 NY
Renal Nutrition Registered Dietitian 133VN1005X ND6583 FL Primary

Addresses

Primary practice location

220 Foxtail Dr Apt F
Greenacres, FL 33415-6190

Mailing address

220 Foxtail Dr Apt F
Greenacres, FL 33415-6190
Phone (561) 352-9858

Other practice location 1

3427 Bruckner Blvd
Better Sleep New York
Bronx, NY 10461-5248
Phone (718) 304-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND6583FLMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Sleep Medical Care PC PastSince Apr 9, 2016 Accepting new patients
Harold Murray Alpert MD PC Past Accepting new patients
Nutrition Associates of South Florida, LLC Nutrition, Renal Past Accepting new patients

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1245481233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FOXTAIL DR APT F",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156190",
            "telephone_number": "561-352-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FOXTAIL DR APT F",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156190",
            "telephone_number": "561-352-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3427 Bruckner Blvd",
            "address_2": "Better Sleep New York",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615248",
            "country_code": "US",
            "telephone_number": "718-304-7638",
            "fax_number": "718-709-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZENBAUM",
        "first_name": "LEONID",
        "credential": "RDN, CSR, CDN, LD/N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "003565",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.