Individual provider Active NPI

Samuel Jay Rosenberg, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
National Provider Identifier
1730490509
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
265958 Issued in NY
Practice address
26 Firemens Memorial Dr Ste 120
Pomona, NY 10970-3576
Phone
(845) 709-8555
NPI assigned
Jun 27, 2010
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 265958 NY Primary

Addresses

Primary practice location

26 Firemens Memorial Dr Ste 120
Pomona, NY 10970-3576

Mailing address

PO Box 751
Tallman, NY 10982-0751
Phone (212) 305-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140725001501 NY Practitioner - Physical Medicine and Rehabilitation 2860618956 Reassigns benefits to 5 organizations
I20250303001076 NJ Practitioner - Geriatric Medicine 2860618956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samuel J Rosenberg DO PCGroup PAC ID 4183031040, 3 clinicians
Aizer Health , IncGroup PAC ID 6406747989, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

3736 Henry Hudson Pkwy
BSMT
Bronx, NY 10463-1514
Phone (845) 709-8555

49 Forest Rd
Monroe, NY 10950-2923
Phone (845) 782-3242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.87 of 100Reported as individual
Quality
92.37
Improvement activities
40
Cost
68.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Mar 27, 2023 Accepting new patients
Samuel J Rosenberg, D.O. P.C. Physical Medicine & Rehabilitation CurrentSince May 3, 2021 Accepting new patients
Medassist NJ II CurrentSince Jan 27, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Physical Medicine & Rehabilitation CurrentSince Jan 1, 2018 Accepting new patients
Aizer Health , Inc. CurrentSince Mar 27, 2023 Accepting new patients
Medequipped LLC CurrentSince Jan 27, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2016 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2016 Accepting new patients

Locations

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

3736 Henry Hudson Pkwy
Bsmt
Bronx, NY 10463
Phone (845) 709-8555

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

26 Firemens Memorial Dr
Ste 120
Pomona, NY 10970
Phone (845) 709-8555

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: samuel.rosenberg.1@32792.direct.athenahealth.com
  • Direct secure messaging: sar9124@direct.nyp.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1730490509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "TALLMAN",
            "state": "NY",
            "postal_code": "109820751",
            "telephone_number": "212-305-3535",
            "fax_number": "212-342-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR STE 120",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703576",
            "telephone_number": "845-709-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SAMUEL",
        "middle_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "265958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.