ITAMAR ROSENBAUM (NPI# 1982065033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982065033 |
Entity Type | Individual |
Full Name | ITAMAR ROSENBAUM |
Credential | C.PED., CFO, BOCPD |
Practice Address |
2102 63rd St Brooklyn NY 11204-3058 |
Mailing Address |
5314 16th Ave 73 Brooklyn NY 11204-1425 |
Practice Telephone | 7182367700 |
Practice Fax Number | 7182343380 |
Mailing Telephone | 7182367700 |
Mailing Fax Number | 7182343380 |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2102 63RD ST |
City | BROOKLYN |
State | NY |
Zip Code | 11204-3058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
Find all providers in zip 11204 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811345101 | Bisyata Dishmaya Management Services Inc | Pedorthist | 910 46th Street, Brooklyn, NY 11219 | 2016-05-27 |
1851543284 | Neptune Medical & Surgical Supply, Inc. | Pedorthist | 1048-1050 Oceanview Ave, Neptune Medical & Surgical Supply, Inc., Brooklyn, NY 11235-5441 | 2008-10-16 |
1629089016 | Dme Certified Supplies, Inc. | Pedorthist | 4621 7th Avenue, Brooklyn, NY 11220-6520 | 2006-08-10 |
1699372409 | Netanel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-10-05 |
1912519406 | Betzalel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043751514 | Young Song | Pedorthist | 14431 41st Ave Ste L6, Flushing, NY 11355-1452 | 2017-03-16 |
1114352531 | Joseph Anthony Coletta | Pedorthist | 435a Albany Shaker Rd, Loudonville, NY 12211-1815 | 2013-09-04 |
1609935527 | David Charles Cardillo | Pedorthist | 3385 Brighton Henrietta Town Line Rd., Rochester, NY 14623-2813 | 2006-12-06 |
1295365120 | Scott R Walters | Pedorthist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2020-01-20 |
1194286963 | Stuart Mandel | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2019-03-26 |
1760947568 | Zachary Michael Richard Oneal | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2019-02-05 |
1992287387 | Betha Hunnicutt Ertzberger | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2018-08-31 |
1639657760 | Hillary Nichole Fitzhugh | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2018-07-31 |
1801393830 | Shawn Marie Williams | Pedorthist | 1900 Clinton Ave S Ste 5, Rochester, NY 14618-5621 | 2018-04-06 |
1184165961 | Bridget A Edelman | Pedorthist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2017-03-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.