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MATTHEW ROSENBOOM
NPI 1760918064
General Acute Care Hospital - Children in New Hyde Park, NY

Active since May 04, 2017
5 DAKOTA DR, NEW HYDE PARK, NY 11042(718) 281-8672(516) 302-8657 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Rosenboom NPPES

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

MATTHEW ROSENBOOM (NPI 1760918064) is an individual children provider in New Hyde Park, New York, licensed in New York (020108-1) and active in the NPI registry since May 2017. He maintains a secondary practice location in Great Neck and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760918064
Entity TypeIndividualMale
Primary Taxonomy282NC2000X
Provider Legal NameMATTHEW ROSENBOOM
Location Address5 DAKOTA DRNew Hyde Park, NY 11042-1107
Mailing Address22 Findley DrEast Northport, NY 11731-4607
Phone(718) 281-8672
Fax(516) 302-8657
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 4, 2017
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1760918064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License✔ Licensed in NY · 020108-1
5 DAKOTA DR, New Hyde Park, NY 11042
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Secondary Practice Location 1

Location 1475 Northern Blvd Ste 19Great Neck, NY 11021-4802 · Phone (516) 829-0030 · Fax (516) 466-7723

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Rosenboom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648746453
PECOS Enrollment IDI20260420001308

Medicare Billing Reassignment

Medicare enrollment records show Matthew Rosenboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reddy Care Physical And Occupational Therapy PLLC
2.2 mi
Specialist
475 NORTHERN BLVD STE 19
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 99 clinicians in this Medicare group
NPI 1477052967 (516) 829-0030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. SHANNON KRISTIN REARDON
Occupational Therapist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (631) 521-1926
MRS. BRIDGET NIEVES M.A.,CCC-SLP/TSSLD
Speech-Language Pathologist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8515
MRS. LORRAINE ELLEN PSZCZOLA RN
Registered Nurse
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (917) 327-2152
CHEYNESE FRANCIS PT, DPT
Physical Therapist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (347) 784-0241
SANAM HAFEEZ
Optometrist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (914) 439-7302
MING CHEUNG OTR/L
Occupational Therapist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (631) 752-0400
TANIKO DIAMOND
Registered Nurse
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 819-2899
ST MARY'S HOSPITAL FOR CHILDREN, INC.
Home Health
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8600

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 Matthew Rosenboom's NPI number?

The NPI number for Matthew Rosenboom is 1760918064. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Matthew Rosenboom located?

Matthew Rosenboom practices at 5 Dakota Dr, New Hyde Park, NY 11042. The listed phone number is (718) 281-8672.

What is Matthew Rosenboom's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Is Matthew Rosenboom enrolled in Medicare?

Yes. Matthew Rosenboom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Rosenboom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Rosenboom reassigns Medicare benefits to Reddy Care Physical And Occupational Therapy PLLC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Rosenboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Rosenboom was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.