Itamar Rosenbaum, C.PED., CFO, BOCPD

Primary specialty

PedorthistTaxonomy code 224L00000X

Practice address

2102 63Rd St
Brooklyn, NY 11204-3058

Phone

(718) 236-7700

Fax

(718) 234-3380

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1982065033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 16TH AVE",
            "address_2": "73",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041425",
            "telephone_number": "718-236-7700",
            "fax_number": "718-234-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043058",
            "telephone_number": "718-236-7700",
            "fax_number": "718-234-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "ITAMAR",
        "credential": "C.PED., CFO, BOCPD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Rosenbaum, LCSW
• Esther Rosenbaum
• Gitty Rosenbaum
• Henny Rosenbaum
• Isaac Rosenbaum
• Rachel Rosenbaum
• Raphael Eliezer Rosenbaum, M.D.
• Sara Rosenbaum
• Batsheva Rosenbeg
• Sofia Lou Rosenberg-Klainberg, CNM DNP

• Pedorthist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pedorthist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.