Individual provider Active NPI

Raphael Eliezer Rosenbaum, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1801043211
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
257453 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
032639003MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000296 NY Practitioner - Ophthalmology 2163577073 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

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
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

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 100Reported as group
Quality
94.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.22
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239531MAMDOphthalmology Physician
257453-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of New York,P.C. Current Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 4, 2010 Accepting new patients
Retina Associates of New York,P.C. CurrentSince Nov 21, 2011 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 4, 2010 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

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_retinaassociates
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.