Active NPI
David L. Rosenblum, D.C.
- Chiropractor
- Woodstock, NY
National Provider Identifier
1679657894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003882
- Practice address
- 83 Mill Hill Rd
Woodstock, NY 12498-1323 - Phone
- (845) 679-2225
- Fax
- (845) 679-4360
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X003882 | NY | Primary |
Addresses
Primary practice location
83 Mill Hill Rd
Woodstock, NY 12498-1323
Mailing address
305 Chestnut Hill Rd
Woodstock, NY 12498-2421
Phone (914) 389-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071130000248 | NY | Practitioner - Chiropractic | 5092804948 | Practice locations: Woodstock, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
83 Mill Hill Rd
Woodstock, NY 12498-1303
Phone (845) 679-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003882 | NY | MD | Behavioral Analyst |
| X003882 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1679657894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CHESTNUT HILL RD",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124982421",
"telephone_number": "914-389-1000",
"fax_number": "845-679-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 MILL HILL RD",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124981323",
"telephone_number": "845-679-2225",
"fax_number": "845-679-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLUM",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.