Active NPI
Marc a Rosenblatt MD LLC
- Specialist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 154949
- Legal business name
- MARC A ROSENBLATT MD LLC
- Practice address
- 3747 77TH St
Jackson Heights, NY 11372-6629 - Phone
- (718) 505-0960
- NPI assigned
- Mar 28, 2008
- Last updated
- Mar 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc A Rosenblatt, MD
- Title
- Director
- Phone
- (212) 472-8546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 154949 | NY | Primary |
Addresses
Primary practice location
3747 77TH St
Jackson Heights, NY 11372-6629
Mailing address
114 E 72ND St
1D
New York, NY 10021-4245
Phone (212) 472-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Marc a Rosenblatt MD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- New York, NY
- NPI 1124220207
Locations
3747 77th St
Jackson Hts, NY 11372
Phone (718) 505-0960
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- New York, NY
- NPI 1952392466
-
- Specialist
- New York, NY
- NPI 1407963580
-
- Hematology & Oncology Physician
- Renton, WA
- NPI 1851407183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427673600000",
"number": "1417129529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 72ND ST",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214245",
"telephone_number": "212-472-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 77TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726629",
"telephone_number": "718-505-0960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC A ROSENBLATT MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2015-03-30",
"status": "A",
"authorized_official_last_name": "ROSENBLATT",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-472-8546",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "154949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.