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DR. JACOB D ROZBRUCH M.D.
NPI 1629082730
Specialist in New York, NY

Active since July 27, 2006Opted out of Medicare · through Feb 15, 2028
420 E 72ND ST, NEW YORK, NY 10021(212) 744-9857(212) 988-9022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob D Rozbruch M.d. NPPES

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

DR. JACOB D ROZBRUCH M.D. (NPI 1629082730) is an individual specialist in New York, New York, licensed in New York (120603) and active in the NPI registry since July 2006. He has opted out of Medicare through February 15, 2028.

NPPES Registry Identity

NPI1629082730
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JACOB D ROZBRUCHCredential: M.D.
Location Address420 E 72ND STNew York, NY 10021-4650
Mailing Address420 E 72nd StNew York, NY 10021-4650 · (212) 744-9857 · Fax (212) 988-9022
Phone(212) 744-9857
Fax(212) 988-9022
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629082730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 120603
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
420 E 72ND ST, New York, NY 10021
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Other Identifiers 2

Medicare UPINA98109NY
Medicare ID-Type Unspecified05A631NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacob D Rozbruch M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2024 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2024
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

R J MASCITELLI MD PC
Internal Medicine
420 E 72ND ST, STE 1J
NEW YORK, NY 10021
New York County (212) 472-7777
ROBYN PAMELA USLIP M.A.,CCC-SLP/TSHH
Speech-Language Pathologist
420 E 72ND ST, APT #12A
NEW YORK, NY 10021
New York County (917) 597-1249
DR. CARL W. HEISE M.D.
Specialist
420 E 72ND ST, SUITE 1J
NEW YORK, NY 10021
New York County (212) 988-4815
MARTIN J O'MALLEY M.D.
Orthopaedic Surgery
420 E 72ND ST, SUITE 1B
NEW YORK, NY 10021
New York County (212) 203-0740
SPINE AND PERIPHERAL NEUROCARE, PC
Psychiatry & Neurology (Neurology)
420 E 72ND ST, SUITE 1J
NEW YORK, NY 10021
New York County (212) 988-4815
DONNA ASTION MD
Specialist
420 E 72ND ST
NEW YORK, NY 10021
New York County (212) 203-0740
JUDITH RENEE LEVY LCAT, MFT
Specialist
420 E 72ND ST, APT #4E
NEW YORK, NY 10021
New York County (212) 388-9447
DR. RICHARD STERN MD
Internal Medicine (Rheumatology)
420 E 72ND ST, 1 J
NEW YORK, NY 10021
New York County (212) 879-2282

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 Jacob Rozbruch's NPI number?

The NPI number for Jacob Rozbruch is 1629082730. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Jacob Rozbruch located?

Jacob Rozbruch practices at 420 E 72nd St, New York, NY 10021. The listed phone number is (212) 744-9857.

What is Jacob Rozbruch's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jacob Rozbruch enrolled in Medicare?

No. Jacob Rozbruch has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacob Rozbruch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.