Active NPI
Michael Adam Rosenblum, RPH
- Geriatric Pharmacist
- Chestnut Ridge, NY
National Provider Identifier
1972835908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 040373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS25336 | FL | MD | Geriatric Pharmacist |
| 28RI02046800 | NJ | MD | Geriatric Pharmacist |
| 040373 | NY | MD | Geriatric 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.