Active NPI
Carl A Rosenbaum, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD026087E
- Practice address
- 10160 Bustleton Ave
Suite a
Philadelphia, PA 19116 - Phone
- (215) 464-0770
- Fax
- (267) 579-0720
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD026087E | PA | Primary |
Addresses
Primary practice location
10160 Bustleton Ave
Suite a
Philadelphia, PA 19116
Mailing address
10160 Bustleton Ave
Suite a
Philadelphia, PA 19116
Phone (215) 464-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD026087E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Internal Medicine | Current | Accepting new patients |
| HR Physician Services | Internal Medicine | Current | Accepting new patients |
| HR Physician Services | Internal Medicine | Current | Accepting new patients |
| Visiting Nurse and Health Services | Past | Accepting new patients |
Locations
23 Bustleton Pike
Feasterville Trevose, PA 19053
Phone (215) 322-5938
23 Bustleton Pike
Ste 200A
Feasterville Trevose, PA 19053
Phone (215) 464-0770
23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770
1648 Huntingdon Pike
Fl 2
Meadowbrook, PA 19046
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
10160 Bustleton Ave
Ste A
Philadelphia, PA 19116
Phone (215) 364-0777
Interoperability endpoints
- carl.rosenbaum.1@17399.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Holy Redeemer Home Care- NJ South | Home health agency | Corporate Director W-2 Managing Employee |
Oct 1, 2004 Oct 1, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Runnemede, NJ
- NPI 1730153479
Corporate Director, W-2 Managing Employee
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
Internal Medicine
-
- Internal Medicine Physician
- Feasterville, PA
- NPI 1275533655
-
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
- Home Health Agency
- Elizabeth, NJ
- NPI 1730153933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1881605103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10160 BUSTLETON AVE",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19116",
"telephone_number": "215-464-0770",
"fax_number": "267-579-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 BUSTLETON AVE",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19116",
"telephone_number": "215-464-0770",
"fax_number": "267-579-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "CARL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD026087E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.