Individual provider Active NPI

Adina Jennifer Rosenman, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1346538956
Registry record updated Jul 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
993713 Issued in IL
Practice address
2702 Avenue S
Brooklyn, NY 11229-2541
Phone
(917) 992-8367
NPI assigned
Jul 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 993713 IL Primary
Registered Dietitian 133V00000X 006446-1 NY

Addresses

Primary practice location

2702 Avenue S
Brooklyn, NY 11229-2541

Mailing address

2702 Avenue S
Brooklyn, NY 11229-2541
Phone (917) 992-8367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113000048 NY Practitioner - Registered Dietitian Or Nutrition Professional 3173870706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
993713ILMDRegistered Dietitian
006446-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
L'Refuah Medical & Rehabilitation Center, Inc. CurrentSince Aug 5, 2018 Accepting new patients
L'Refuah Medical & Rehabilitation Center, Inc. CurrentSince Aug 5, 2018 Accepting new patients

Locations

1312 38th St
Brooklyn, NY 11218
Phone (718) 686-2374

Networks

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

Interoperability endpoints

  • Direct secure messaging: adina.rosenman.p1@direct.ezramedical.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310860800000",
    "number": "1346538956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292541",
            "telephone_number": "917-992-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292541",
            "telephone_number": "917-992-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENMAN",
        "first_name": "ADINA",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2011-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "993713",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006446-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.