Search › New York › 282NC2000X
Matthew Rosenboom
NPI 1760918064 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5 Dakota Dr
New Hyde Park, NY 11042 - Phone
- (718) 281-8672
- Fax
- (516) 302-8657
- Organisation at this address
- Extraordinary Pediatrics, Pc
St. Mary'S Hospital Case Management
St Mary'S Hospital For Children, Inc.
St.Marys Healthcare System For Children
St.Mary'S Healthcare System For ChildrenInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 475 Northern Blvd Ste 19, Great Neck, NY
Registry record
- Primary taxonomy
- 282NC2000X
282NC2000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York