Active NPI
Judah Y. Rosenberg, C. PED.
- Specialist
- Lakewood, NJ
National Provider Identifier
1376783571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CPED2986
- Practice address
- 1352 River Ave
Lakewood, NJ 08701-5646 - Phone
- (917) 309-1341
- NPI assigned
- Feb 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CPED2986 | NY | Primary |
Addresses
Primary practice location
1352 River Ave
Lakewood, NJ 08701-5646
Mailing address
50 Coles Way
Lakewood, NJ 08701-4878
Phone (917) 309-1341
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
| License | State | Type | Specialty |
|---|---|---|---|
| CPED2986 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1376783571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COLES WAY",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014878",
"telephone_number": "917-309-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015646",
"telephone_number": "917-309-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "JUDAH",
"middle_name": "Y.",
"credential": "C. PED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-27",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "CPED2986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.