Active NPI
Raphael Eliezer Rosenbaum, M.D.
- Ophthalmology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 257453
- Practice address
- 1316 48TH St
Brooklyn, NY 11219-3167 - Phone
- (718) 436-8988
- Fax
- (718) 435-8861
- NPI assigned
- Aug 27, 2008
- Last updated
- Dec 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 257453 | NY | Primary |
| Ophthalmology Physician | 207W00000X | 257453-1 | NY | |
| Ophthalmology Physician | 207W00000X | 239531 | MA | |
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | 257453 | NY |
Addresses
Primary practice location
1316 48TH St
Brooklyn, NY 11219-3167
Mailing address
140 East 80TH St
New York, NY 10075-0306
Phone (212) 772-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032639003 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 E 80TH St
New York, NY 10075-0306
Phone (212) 772-0600
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.17 of 100
- Quality
- 94.43
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.22
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 57.32
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 80.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239531 | MA | MD | Ophthalmology Physician |
| 257453-1 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates of New York,P.C. | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Retina Associates of New York,P.C. | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| D Jacob Rosenbaum MD PC | Ophthalmology | Past | Accepting new patients |
| Retina Associates of New York, P.C. | Past | Accepting new patients | |
| Noah Klein, MD, PC | Ophthalmology | Past | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
14 Lawton St
New Rochelle, NY 10801
Phone (914) 632-1300
140 E 80th St
New York, NY 10075
Phone (212) 241-4944
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://app.meldrx.com/api/fhir/imedicware_retinaassociates
- rosenbaummd@retinany.direct.eyemdemr.com
Organizations & group practices 8
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.
-
dba Nassau Department of Psychiatry and Psychology, FPP
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- East Meadow, NY
- NPI 1902822992
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- Specialist
- Forest Hills, NY
- NPI 1013190685
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1396760989
-
dba NUMC Department of Family Medicine, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- Specialist
- New York, NY
- NPI 1629145370
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1679013577
-
- Ophthalmology Physician
- New York, NY
- NPI 1962665463
-
- Specialist
- New Rochelle, NY
- NPI 1760663561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1801043211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 EAST 80TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750306",
"telephone_number": "212-772-0600",
"fax_number": "212-517-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193167",
"telephone_number": "718-436-8988",
"fax_number": "718-435-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "RAPHAEL",
"middle_name": "ELIEZER",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "257453",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "257453-1",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "239531",
"primary": false
},
{
"code": "207WX0108X",
"taxonomy_group": "",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": "NY",
"license": "257453",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032639003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.
- 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.