Individual provider Active NPI

Allan I. Rosenthal, D.P.M.

  • Podiatrist
  • Ridgefield, CT
National Provider Identifier
1346241510
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
164 Issued in CT
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13098OtherNYGHI
4006334MedicaidCT
041251OtherCTHEALTHNET
010164OtherCTCONNECTICARE
030000164CT01OtherCTANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue242
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
Danbury Hospital CurrentSince Apr 15, 2019 Accepting new patients
Danbury Hospital CurrentSince Apr 15, 2019 Accepting new patients
Norwalk Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
Stamford Podiatry Group PC Podiatrist Past Accepting new patients
Allan I. Rosenthal DPM Foot Surgery PastSince Oct 16, 2000 Accepting new patients
Stamford Podiatry Group PC Podiatrist PastSince Aug 7, 1991 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.

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

Verify at the official NPI Registry.