Individual provider Active NPI

Jonathan David Rosenbloom, LCSW

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1497249544
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091100 Issued in NY
Practice address
342 Grand Ave
Englewood, NJ 07631-4355
Phone
(475) 244-5253
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091100 NY
Clinical Social Worker 1041C0700X 44SL04975400 NJ
Clinical Social Worker 1041C0700X TPSW5143 FL
Clinical Social Worker 1041C0700X 091100 NY Primary

Addresses

Primary practice location

342 Grand Ave
Englewood, NJ 07631-4355

Mailing address

41 Glenwood Dr N
Bergenfield, NJ 07621-3345
Phone (475) 244-5253

Other practice location 1

41 Glenwood Dr N
Bergenfield, NJ 07621-3345
Phone (475) 244-5253

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825000370 NY Practitioner - Clinical Social Worker 6901201276 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW5143FLMDClinical Social Worker
44SL04975400NJMDClinical Social Worker
091100NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 6, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Aug 6, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Aug 6, 2021 Accepting new patients
Essen Medical Associates,PC CurrentSince Aug 6, 2021 Accepting new patients
JDR Integrative Psychotherapy Social Worker CurrentSince Apr 1, 2024 Accepting new patients

Locations

342 Grand Ave
Englewood, NJ 07631
Phone (475) 244-5253

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1497249544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GLENWOOD DR N",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213345",
            "telephone_number": "475-244-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314355",
            "telephone_number": "475-244-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Glenwood Dr N",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "076213345",
            "country_code": "US",
            "telephone_number": "475-244-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL04975400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW5143",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.