Active NPI
Keith Brian Rosenthal, DPM
- Podiatrist
- Jackson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00240300
- Practice address
- 180 N County Line Rd
Ste H
Jackson, NJ 08527-4421 - Phone
- (732) 833-2800
- Fax
- (732) 833-4808
- NPI assigned
- Mar 17, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00240300 | NJ | Primary |
Addresses
Primary practice location
180 N County Line Rd
Ste H
Jackson, NJ 08527-4421
Mailing address
180 N County Line Rd
Ste H
Jackson, NJ 08527-4421
Phone (732) 833-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TZ7323107 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Beaverson Blvd
Suite 1a
Brick, NJ 08723-7854
Phone (732) 477-0441
55 Kent Rd
Howell, NJ 07731-2452
Phone 73283328002452
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.42 of 100
- Quality
- 63.51
- Promoting interoperability
- 60
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2170 |
| Removal or shaving of skin growth | 258 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2403 | NJ | MD | Clinical Psychologist |
| 25MD00240300 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jackson Center for Foot and Ankle Medicine | Current | Accepting new patients | |
| Jackson Center for Foot and Ankle Medicine,LLC | Podiatrist | Current | Accepting new patients |
| Brian J Schultz, D.P.M. , P.a. | Podiatrist | Past | Accepting new patients |
| Jackson Center for Foot and Ankle Medicine | Past | Accepting new patients | |
| The Jackson Center for Foot and Ankle Medicine | Past | Accepting new patients |
Locations
35 Beaverson Blvd
Ste 1A
Brick, NJ 08723
Phone (732) 477-0441
55 Kent Rd
Howell, NJ 07731
Phone (732) 833-2800
180 N County Line Rd
Ste H
Jackson, NJ 08527
Phone (732) 367-6611
728 Bennetts Mills Rd
Ste 2
Jackson, NJ 08527
Phone (732) 833-2800
Interoperability endpoints
- krosenthal425431@direct.ahsys.org
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Jackson, NJ
- NPI 1609047372
-
- Non-Pharmacy Dispensing Site
- Jackson, NJ
- NPI 1477096410
-
- Foot & Ankle Surgery Podiatrist
- Jackson, NJ
- NPI 1154736585
-
- Customized Equipment (DME)
- Brick, NJ
- NPI 1366976698
-
- Durable Medical Equipment & Medical Supplies
- Jackson, NJ
- NPI 1144326448
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1952370132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 N COUNTY LINE RD",
"address_2": "STE H",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274421",
"telephone_number": "732-833-2800",
"fax_number": "732-833-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N COUNTY LINE RD",
"address_2": "STE H",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274421",
"telephone_number": "732-833-2800",
"fax_number": "732-833-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "KEITH",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00240300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TZ7323107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.