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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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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

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.

ST MARY'S HOSPITAL FOR CHILDREN, INC.
Home Health
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8600
MRS. LORRAINE ELLEN PSZCZOLA RN
Registered Nurse
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (917) 327-2152
ST.MARY'S HEALTHCARE SYSTEM FOR CHILDREN
Exclusive Provider Organization
5 DAKOTA DR, SUITE 200
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8579
MR. KEVIN MICHAEL HELLER MS, OTR/L
Occupational Therapist
5 DAKOTA DR, SUITE 200
NEW HYDE PARK, NY 11042
Nassau County (516) 729-4301
JING KAN PT
Physical Therapist
5 DAKOTA DR, SUITE 200
NEW HYDE PARK, NY 11042
Nassau County (703) 220-9825
MRS. BRIDGET NIEVES M.A.,CCC-SLP/TSSLD
Speech-Language Pathologist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8515
MARIA THERESA GIANCARLI
Speech-Language Pathologist
5 DAKOTA DR
NEW HYDE PARK, NY 11042
Nassau County (718) 281-8657
ST. MARY'S HOSPITAL CASE MANAGEMENT
Home Health
5 DAKOTA DR, SUITE 200
NEW HYDE PARK, NY 11042
Nassau County (718) 819-2830

Frequently Asked Questions

What is Matthew Rosenboom's NPI number?

The NPI number assigned to this healthcare provider is 1760918064, enumerated as an "individual" on May 04, 2017.

Where is the provider located?

The provider is located at 5 DAKOTA DR NEW HYDE PARK, NY 11042 and the phone number is (718) 281-8672.

What is the provider's specialty?

General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.