Individual provider Active NPI

Jeffrey R Rosenblatt, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1437238011
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004355 Issued in NY
Practice address
408 Jay St FL 5
Brooklyn, NY 11201-5173
Phone
(516) 317-7853
Fax
(516) 292-3267
NPI assigned
Nov 3, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2818 FL
Podiatrist 213E00000X N004355 NY Primary

Addresses

Primary practice location

408 Jay St FL 5
Brooklyn, NY 11201-5173

Mailing address

180 Longwood Xing
Lawrence, NY 11559-2728
Phone (516) 317-7853

Other identifiers 2

IdentifierTypeStateIssuer
1052968OtherNYGHI
01067027MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000700 NY Practitioner - Podiatry 9234187949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

408 Jay St
Suite 500
Brooklyn, NY 11201-5119
Phone (718) 875-9251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue112
Removal or shaving of skin growth101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2818FLMDPodiatrist
N004355NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Footcare PC Podiatrist CurrentSince Aug 15, 2010 Accepting new patients
Absolute Foot Care PC Current Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Caricare Past Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

408 Jay St
Ste 500
Brooklyn, NY 11201
Phone (718) 596-5555

408 Jay St
Fl 5
Brooklyn, NY 11201
Phone (516) 317-7853

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

543 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 292-0023

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jeffreyrosenblatt@whmc.allscriptsdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1437238011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LONGWOOD XING",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592728",
            "telephone_number": "516-317-7853",
            "fax_number": "516-292-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JAY ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015173",
            "telephone_number": "516-317-7853",
            "fax_number": "516-292-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2818",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1052968",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01067027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.