Nathan Mark Rosenblum, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0023319 Issued in MD

Practice address

5 Windblown CT
Apt 302
Baltimore, MD 21207

Phone

(410) 456-6864

Fax

(410) 825-5138

NPI assigned

Jun 13, 2006

Reactivated

Dec 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1730122128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "address_2": "8016 BELLONA AVE",
            "city": "RIDERWOOD",
            "state": "MD",
            "postal_code": "21137",
            "telephone_number": "410-825-2470",
            "fax_number": "410-825-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WINDBLOWN CT",
            "address_2": "APT 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-456-6864",
            "fax_number": "410-825-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "NATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-12-26",
        "deactivation_date": "2013-11-05",
        "reactivation_date": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0023319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Rosenblatt, DPM
• Anna Lauren Rosenbloom, PA-C
• Hallye Rachel Rosenbloom, PSYD
• Jonathan Rosenblum, LMSW
• Julie Rosenblum, PHARMD
• Adena Rosenfeld
• Brian Rosenfeld, M.D.
• Cheryl Gail Rosenfeld, RD, LDN
• Jeremy Rosenfeld, DDS
• Lauren Rosenfeld

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.