Michael Rosenblum, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MDOO2464 Issued in NJ

Legal business name

MICHAEL ROSENBLUM, DPM

Practice address

18-05 Hillery St
Fair Lawn, NJ 07410-5208

Phone

(201) 628-4599

Fax

(201) 797-1055

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Rosenblum, DPMNPI 1700834652

Title

Podiatrist

Phone

(201) 628-4599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Rosenblum, DPM

  • Podiatrist
  • Fair Lawn, NJ
  • NPI 1700834652
  NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1396928958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-05 HILLERY ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105208",
            "telephone_number": "201-628-4599",
            "fax_number": "201-797-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-05 HILLERY ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105208",
            "telephone_number": "201-628-4599",
            "fax_number": "201-797-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROSENBLUM, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "201-628-4599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MDOO2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Mental Health
• MFS Physical Therapy Assistive Technology P.C.
• MH at Fair Lawn LLC
• MHS Mental Healthcare Associates LLC.
• Manuela Maria Angela Miccoli, MSW
• Virginia Mickolajczyk
• Midland Pain Management
• Mike Miron, M.D.,P.C.
• Mikhael Ruzhin LTD
• Mitchell Howard Milch, LCSW

• Podiatrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.