Organization Active NPI

Melvin Rothberger MD LLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1023283348
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
124476 Issued in NY
Legal business name
MELVIN ROTHBERGER MD LLC
Practice address
575 Kings Hwy
Brooklyn, NY 11223-2046
Phone
(718) 375-6300
Fax
(718) 375-6331
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melvin J Rothberger, MDNPI 1124017512
Title
President
Phone
(718) 375-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 124476 NY Primary

Addresses

Primary practice location

575 Kings Hwy
Brooklyn, NY 11223-2046

Mailing address

575 Kings Hwy
Brooklyn, NY 11223-2046
Phone (718) 375-6300

Other identifiers 1

IdentifierTypeStateIssuer
00271027MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Melvin Jay Rothberger Mdllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1023283348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232046",
            "telephone_number": "718-375-6300",
            "fax_number": "718-375-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232046",
            "telephone_number": "718-375-6300",
            "fax_number": "718-375-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN ROTHBERGER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ROTHBERGER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-375-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00271027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.