Active NPI
Allan I. Rosenthal, D.P.M.
- Podiatrist
- Ridgefield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 164
- Practice address
- 30 Prospect St
Suite 400
Ridgefield, CT 06877-4514 - Phone
- (203) 431-0048
- Fax
- (203) 431-6328
- NPI assigned
- Aug 10, 2005
- Last updated
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 164 | CT | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 164 | CT | |
| Foot Surgery Podiatrist | 213ES0131X | 164 | CT |
Addresses
Primary practice location
30 Prospect St
Suite 400
Ridgefield, CT 06877-4514
Mailing address
30 Prospect St
Suite 400
Ridgefield, CT 06877-4514
Phone (203) 431-0048
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13098 | Other | NY | GHI |
| 4006334 | Medicaid | CT | |
| 041251 | Other | CT | HEALTHNET |
| 010164 | Other | CT | CONNECTICARE |
| 030000164CT01 | Other | CT | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000488 | CT | Practitioner - Podiatry | 2062599533 | Practice locations: Ridgefield, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Prospect St
Ridgefield, CT 06877-4562
Phone (203) 431-0048
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 242 |
| Removal or shaving of skin growth | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Hospital Association | Current | Accepting new patients | |
| Danbury Hospital | Current | Accepting new patients | |
| Danbury Hospital | Current | Accepting new patients | |
| Norwalk Hospital Association | Current | Accepting new patients | |
| Stamford Podiatry Group PC | Podiatrist | Past | Accepting new patients |
| Allan I. Rosenthal DPM | Foot Surgery | Past | Accepting new patients |
| Stamford Podiatry Group PC | Podiatrist | Past | Accepting new patients |
| Deborah a. Derose, D.P.M. | Podiatrist | Past | Accepting new patients |
| Bridgeport Hospital | Past | Accepting new patients |
Locations
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
70 Main St
Danbury, CT 06810
Phone (203) 739-8100
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
Organizations & group practices 9
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.
-
- Foot Surgery Podiatrist
- Ridgefield, CT
- NPI 1407028970
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
dba Danbury Hospital DBA New Milford Hospital
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
dba Bridgeport Hospital Milford Campus OP
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
-
- Podiatrist
- Fairfield, CT
- NPI 1821283409
-
- Primary Podiatric Medicine Podiatrist
- Stamford, CT
- NPI 1780736728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1346241510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT ST",
"address_2": "SUITE 400",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774514",
"telephone_number": "203-431-0048",
"fax_number": "203-431-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT ST",
"address_2": "SUITE 400",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774514",
"telephone_number": "203-431-0048",
"fax_number": "203-431-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "ALLAN",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "164",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CT",
"license": "164",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CT",
"license": "164",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "13098",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4006334",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "041251",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "010164",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "030000164CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.