MEDICARE: ADAM ROZENSTRAUCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1669046686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM ROZENSTRAUCH

Provider Business Mailing Address
First Line	:	880 SUMMIT AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-4803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7844 METROPOLITAN AVE
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2966
Country	:	US
Telephone Number	:	718-269-7239
Fax Number	:	516-295-3123

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM ROZENSTRAUCH
Credential	:	DPM
Telephone Number	:	516-488-1131

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/25/2026

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Directions to “ADAM ROZENSTRAUCH ” Practice Location

Language	Start Address	Practice Location

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