Organization Active NPI

Glenn Rosenberg, D.C., P.C.

  • Chiropractor
  • Baldwin, NY
National Provider Identifier
1922365147
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008173 Issued in NY
Legal business name
GLENN ROSENBERG, D.C., P.C.
Practice address
974 Atlantic Ave
Baldwin, NY 11510-4253
Phone
(516) 596-2273
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Glenn Rosenberg, D.C.
Title
Owner
Phone
(516) 596-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X008173 NY Primary

Addresses

Primary practice location

974 Atlantic Ave
Baldwin, NY 11510-4253

Mailing address

974 Atlantic Ave
Baldwin, NY 11510-4253
Phone (516) 596-2273

National Provider Directory

National Provider Directory

Locations

974 Atlantic Ave
Baldwin, NY 11510
Phone (516) 596-2273

110 Business Park Dr
Ste 2
Utica, NY 13502
Phone (516) 596-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1922365147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104253",
            "telephone_number": "516-596-2273",
            "fax_number": "516-596-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104253",
            "telephone_number": "516-596-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN ROSENBERG, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-596-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.