Individual provider Active NPI

Michael Adam Rosenblum, RPH

  • Geriatric Pharmacist
  • Chestnut Ridge, NY
National Provider Identifier
1972835908
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
040373 Issued in NY
Practice address
80 Red Schoolhouse Rd
226
Chestnut Ridge, NY 10977-7053
Phone
(845) 371-8602
Fax
(845) 356-2552
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 040373 NY Primary
Geriatric Pharmacist 1835G0303X 28RI02046800 NJ
Geriatric Pharmacist 1835G0303X PS25336 FL

Addresses

Primary practice location

80 Red Schoolhouse Rd
226
Chestnut Ridge, NY 10977-7053

Mailing address

6 Emerald LN
Suffern, NY 10901-3214
Phone (845) 357-6147

Other names 1

  • Mr. Michael Adam Rosenblum Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS25336FLMDGeriatric Pharmacist
28RI02046800NJMDGeriatric Pharmacist
040373NYMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1972835908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EMERALD LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013214",
            "telephone_number": "845-357-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RED SCHOOLHOUSE RD",
            "address_2": "226",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777053",
            "telephone_number": "845-371-8602",
            "fax_number": "845-356-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "040373",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": "28RI02046800",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS25336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "ROSENBLUM",
            "middle_name": "ADAM",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.