JACOB ROSENBERG OD
NPI 1033895743
Optometrist in Bronx, NY

Q: What is Jacob Rosenberg's NPI number?

The NPI number for Jacob Rosenberg is 1033895743. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Jacob Rosenberg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Rosenberg was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2023PECOS Enrolled

1650 SELWYN AVE APT 1C, BRONX, NY 10457(718) 590-1800 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Rosenberg Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ROSENBERG OD (NPI 1033895743) is an individual optometrist in Bronx, New York, licensed in New York (TUV009828) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033895743

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACOB ROSENBERGCredential: OD

Location Address1650 SELWYN AVE APT 1CBronx, NY 10457-7628

Mailing Address4004 34th Ave Apt 409Long Island City, NY 11101-8542 · (518) 727-8125

Phone(718) 590-1800

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1033895743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · TUV009828

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1650 SELWYN AVE APT 1C, Bronx, NY 10457

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Rosenberg Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082154141

PECOS Enrollment IDI20240904003666

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA KERWIN OD

Optometrist