Individual provider Active NPI

David N Rosenfeld, M.D.

  • Psychiatry Physician
  • Ridgewood, NJ
National Provider Identifier
1629116371
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA 054370 Issued in NJ
Practice address
265 Ackerman Ave
Ridgewood, NJ 07450-4200
Phone
(201) 447-5630
Fax
(201) 447-0903
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA 054370 NJ Primary

Addresses

Primary practice location

265 Ackerman Ave
Ridgewood, NJ 07450-4200

Mailing address

265 Ackerman Ave
Ridgewood, NJ 07450-4200
Phone (201) 447-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000104 NJ Practitioner - Psychiatry 7911187398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
David N. Rosenfeld, M.D. P.a.Group PAC ID 6103006580, 3 clinicians

Practice addresses (Care Compare)

265 Ackerman Ave
Ridgewood, NJ 07450-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David N. Rosenfeld, M.D., P.a. P.C. Psychiatry CurrentSince Sep 27, 1990 Accepting new patients
David N. Rosenfeld, M.D., P.a. Psychiatry CurrentSince Sep 27, 1990 Accepting new patients

Locations

265 Ackerman Ave
Ridgewood, NJ 07450
Phone (201) 447-5630

265 Ackerman Ave
Ste 202
Ridgewood, NJ 07450
Phone (201) 444-6226

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Organizations & group practices 2

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1629116371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ACKERMAN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504200",
            "telephone_number": "201-447-5630",
            "fax_number": "201-447-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ACKERMAN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504200",
            "telephone_number": "201-447-5630",
            "fax_number": "201-447-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA 054370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.