Organization Active NPI

Pearl Rosenbaum, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1417146721
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
159886 Issued in NY
Legal business name
PEARL ROSENBAUM, MD
Practice address
3333 Henry Hudson Pkwy
Suite 1J
Bronx, NY 10463-3224
Phone
(718) 231-7111
NPI assigned
Oct 23, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Pearl Rosenbaum, MDNPI 1043233901
Title
Owner
Phone
(718) 231-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 159886 NY Primary

Addresses

Primary practice location

3333 Henry Hudson Pkwy
Suite 1J
Bronx, NY 10463-3224

Mailing address

3333 Henry Hudson Pkwy
Suite 1J
Bronx, NY 10463-3224

National Provider Directory

National Provider Directory

Locations

1250 Waters Pl
Ste 502
Bronx, NY 10461
Phone (718) 518-0060

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1417146721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-231-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL ROSENBAUM, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-231-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "159886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.