Active NPI
Harlan Matthew Rozenberg
- Family Medicine Physician
- Norwalk, CT
National Provider Identifier
1700299617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 78682
- Practice address
- 120 Connecticut Ave
Norwalk, CT 06854-1525 - Phone
- (203) 851-1000
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 78682 | CT | Primary |
Addresses
Primary practice location
120 Connecticut Ave
Norwalk, CT 06854-1525
Mailing address
780 8TH Ave Ste 303
New York, NY 10036-7000
Phone (212) 641-4500
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Family Medicine | Current | Accepting new patients |
Locations
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
780 8th Ave
New York, NY 10036
Phone (212) 641-4000
780 8th Ave
Ste 303
New York, NY 10036
Phone (212) 641-4500
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
Family Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1700299617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 8TH AVE STE 303",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100367000",
"telephone_number": "212-641-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-851-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENBERG",
"first_name": "HARLAN",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "78682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.