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RACHEL ROSENBLUM MD
NPI 1184087249
Internal Medicine - Hematology & Oncology in Middletown, NJ

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
85.56/100
CMS Quality Rating
480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 225-6000 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Oct 31, 2022, Apr 11, 2019 (3 updates tracked since 2019).

About Rachel Rosenblum Md NPPES

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

RACHEL ROSENBLUM MD (NPI 1184087249) is an individual hematology & oncology provider in Middletown, New Jersey, licensed in New Jersey (25MA11948400) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184087249
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRACHEL ROSENBLUMCredential: MD
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address480 Red Hill RdMiddletown, NJ 07748-3052 · (848) 225-6000
Phone(848) 225-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1184087249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NJ · 25MA11948400✔ Licensed in PA · MD469118
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
480 RED HILL RD, Middletown, NJ 07748
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Rosenblum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668718719
PECOS Enrollment IDI20231108003216, I20231109003215
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
606 services198 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
268 services128 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
89 services89 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
55 services44 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
41 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.62
Promoting Interoperability100
Improvement Activities40
Cost56.87

Other Providers at the Same Location NPPES 20

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

DR. JACOB SHIN M.D.
Radiology (Radiation Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6436
RAQUEL C BARRETO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 227-3742
SUZANNE PENNA MSN, RN
Registered Nurse (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 888-2629
ALLAN MARIANO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6000
DR. NICOLE BERARDONI SAPHIER M.D.
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6304
PAULINE BETTY MOCK PHARMD
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 228-6050
MRS. JESSICA ELANA DOMB NP
Nurse Practitioner (Family)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6265
DR. KRISTINE PEREGRINO LACUNA
Internal Medicine (Medical Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (929) 452-1176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Rosenblum's NPI number?

The NPI number for Rachel Rosenblum is 1184087249. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Rachel Rosenblum located?

Rachel Rosenblum practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (848) 225-6000.

What is Rachel Rosenblum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rachel Rosenblum enrolled in Medicare?

Yes. Rachel Rosenblum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rachel Rosenblum affiliated with any hospitals?

According to CMS data, Rachel Rosenblum is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Rosenblum was last updated on August 9, 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.