Active NPI
Richard Bryan Rosenblum, MA, MS, ATC
- Athletic Trainer
- Hillsborough, NJ
National Provider Identifier
1700815149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 915474
- Practice address
- 260 Triangle Rd
Hillsborough, NJ 08844-4878 - Phone
- (908) 874-3420
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 915474 | NJ | Primary |
Addresses
Primary practice location
260 Triangle Rd
Hillsborough, NJ 08844-4878
Mailing address
92 Heron CT
Manalapan
Englishtown, NJ 07726-9018
Phone (732) 851-6136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 915474 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700815149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 HERON CT",
"address_2": "MANALAPAN",
"city": "ENGLISHTOWN",
"state": "NJ",
"postal_code": "077269018",
"telephone_number": "732-851-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 TRIANGLE RD",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444878",
"telephone_number": "908-874-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLUM",
"first_name": "RICHARD",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "MA, MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "915474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.