DR. STACY ROSENBLUM (NPI# 1639413693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639413693 |
| Entity Type | Individual |
| Full Name | DR. STACY ROSENBLUM |
| Practice Address |
703 Main St Paterson NJ 07503 |
| Mailing Address |
8 Belnay Ln Montvale NJ 07645-1114 |
| Practice Telephone | 9737542549 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA10273600 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218965 | Stacy R Rosenblum | Dermatology | 3319 State Road 7, Ste 110, Wellington, FL 33449-8094 | 2013-07-26 |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1669475174 | Adel M Zauk | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1710980131 | Denis Dilallo | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1740283167 | Gregory E Menken | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1093718314 | Linda C Skroce | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1124021449 | Zarah Jane Pua | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1063415487 | Eric S Lesser | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1124021548 | Luis C Marrero | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1427398536 | Aelia Inc | Pediatrics | 405 Gregory Rd, Paramus, NJ 07652-2117 | 2013-02-26 |
| 1376782060 | Midatlantic Neonatology Associates | Pediatrics | 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 | 2009-02-19 |
| 1952571515 | John Freddy Ladino | Pediatrics | 100 Madison Ave # 85, Morristown, NJ 07960-6136 | 2008-03-10 |
| 1205040425 | Fawaz Kashlan | Pediatrics | 5 Springhouse Rd, Ocean, NJ 07712-3727 | 2007-05-09 |
| 1134243389 | Robert L Simon | Pediatrics | 34 Cedar Ln, Bridgeton, NJ 08302-7152 | 2007-03-16 |
| 1902938988 | Chung J Peng | Pediatrics | 1 Blackberry Ln, North Caldwell, NJ 07006-4170 | 2007-03-12 |
| 1285701094 | Mary Beth Browne | Pediatrics | 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 | 2006-11-29 |
| 1922182310 | Judy G Saslow | Pediatrics | One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 | 2006-10-24 |
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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.