ITAMAR ROSENBAUM


Address: 2102 63rd St, Brooklyn, NY 11204-3058
Phone: 7182367700

ITAMAR ROSENBAUM (NPI# 1982065033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2102 63RD ST
City BROOKLYN
State NY
Zip Code 11204-3058

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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
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Taxonomy Information

Taxonomy Code 224L00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Pedorthist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BROOKLYN
Zip Code 11204

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Dataset Information

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.

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