Glenn Rosenberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

XOO8173 Issued in NY

Practice address

974 Atlantic Ave
Baldwin, NY 11510-4253

Phone

(516) 596-2273

Fax

(516) 596-9606

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Back Doctors and Rehab, LLC

  • Chiropractor
  • Plainfield, NJ
  • NPI 1295309177
  NPD Authorized official
• Greater New Jersey Inc.

  • Rehabilitation Chiropractor
  • East Orange, NJ
  • NPI 1679258370
  NPD Authorized official
• Corey a Stein DC PC

  • Chiropractor
  • Lynbrook, NY
  • NPI 1558553396
  NPD (past)
• Ez Medhealth Care PC

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
  • NPI 1245347301
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1982790952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVISON AVE W",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722114",
            "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",
            "fax_number": "516-596-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XOO8173",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00626600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rohn, ATC
• Matthew Romaine, DPT
• Fred S Romero, LCSW
• Michael Edward Ronan, MD
• Megan Ashley Rosen, DVM
• Claudia Rotondo, LCSW, MSWAC
• Jeffrey I Rubin, PHD
• Kalin A Russell
• Gabriela Saavedra
• Michelle Sabre, NP

• Chiropractor in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.