Matthew Rosenboom

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

020108-1 Issued in NY

Practice address

5 Dakota Dr
New Hyde Park, NY 11042-1107

Phone

(718) 281-8672

Fax

(516) 302-8657

NPI assigned

May 4, 2017

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

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Reddy Care Physical and Occupational Therapy PLLCGroup PAC ID 6103176987, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reddy Care Physical and Occupational Therapy PLLC

  • Specialist
  • Great Neck, NY
  • NPI 1477052967
  Medicare reassignment Care Compare group NPD
• Origins Integrative Occupational Therapy PLLC

  dba Life Lifters Health Occupational Therapy

  • Rehabilitation Clinic/Center
  • Bayside, NY
  • NPI 1639944705
  NPD Authorized official
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1760918064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FINDLEY DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421107",
            "telephone_number": "718-281-8672",
            "fax_number": "516-302-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBOOM",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NY",
            "license": "020108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Rosen, MD
• Stacey Rosen, MD
• Neil B Rosenbaum, D.M.D.
• Milton Rosenberg
• Gilbert Alan Rosenblum, M.D.
• Anne Rosenfield, M.S., CCC
• Elana Rosenthal, MD
• Leslie Rosenthal, AUD
• Louis Rosenthal, LCSW
• Matthew Rosenthal, MD

• Children's Hospital in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Children's Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.

Verify at the official NPI Registry.