MS. RUTH KOPPEL ROSENBLUM


Address: 1521 Estelle Ave, San Jose, CA 95118-1325
Phone: 4082670174

MS. RUTH KOPPEL ROSENBLUM (NPI# 1588878177) 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) 1588878177
Entity Type Individual
Full Name MS. RUTH KOPPEL ROSENBLUM
Credential RN, NP
Practice Address 1521 Estelle Ave
San Jose
CA 95118-1325
Practice Telephone 4082670174
Mailing Telephone 4082670174
Enumeration Date 2007-05-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
NP 8679 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN 449701 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers RUTH ROSENBLUM

NPI Name Taxonomy Address Enumeration
1598937948 Ruth Rosenblum Social Worker 71 Cassilis Avenue, Bronxville, NY 10708-1204 2008-03-26

Office Location

Street Address 1521 ESTELLE AVE
City SAN JOSE
State CA
Zip Code 95118-1325

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1881060739 Brittany Star Curry Physical Therapist 3150 Almaden Expy Ste 120, San Jose, CA 95118 2015-08-14
1154690188 Carrie Herbst Marriage & Family Therapist 1390 Dentwood Dr, San Jose, CA 95118 2011-12-20
1104096825 Cheryl Ann Engelstad Marriage & Family Therapist 1455 E Foxworthy Ave, Pmb 159, San Jose, CA 95118 2008-03-10
1427251271 Eric John Bohl Marriage & Family Therapist 4990 Speak Ln., Suite 100, San Jose, CA 95118 2007-06-08
1326249954 Marcia May Kaufmann Social Worker 4990 Speak Lane, Suite 100, San Jose, CA 95118 2007-05-30
1386796498 Rena Jean Zahorsky Marriage & Family Therapist 4990 Speak Lane Suite 100, San Jose, CA 95118 2007-01-17
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1427596618 Marina Kofman Nurse Practitioner 751 S Bascom Ave, San Jose, CA 95128-2604 2017-02-07
1568909315 Mary Le Nurse Practitioner 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 2017-01-31
1144686056 Jessica Lee West Nurse Practitioner 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 2016-01-07
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Competitor

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City SAN JOSE
Zip Code 95118

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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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