Donald Z Rosenblum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

121300 Issued in NY

Practice address

1561 Rte 9W
Lake Katrine, NY 12449-5410

Phone

(845) 231-5600

Fax

(845) 231-5489

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1558329748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7247-6822",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191700001",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 RTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495410",
            "telephone_number": "845-231-5600",
            "fax_number": "845-231-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "DONALD",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "121300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00502016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary I Povill, MD
• Mark Anthony Retzlaff, PTA
• Karen A Rice, LPN
• Nicola Richards, FNP
• Lenore J Roach, LISW,LCSW
• Amy M Rosenthal, RN
• Roy Kline Optometry PLLC (VisionExcel)
• Pamela Sandborn, RN
• Sarah Sayegh, PA-C
• Ellen Schaefer, O.D.

• Pediatrics Physician in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.