Individual provider Active NPI

Deena Rothman, PA

  • Medical Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1033766860
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9117796 Issued in FL
Practice address
4302 Alton Rd Ste 100
Miami Beach, FL 33140-2892
Phone
(516) 417-0639
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 023879 NY
Medical Physician Assistant 363AM0700X PA9117796 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 100
Miami Beach, FL 33140-2892

Mailing address

150 E 42ND St FL 10
New York, NY 10017-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191017002017 NY Practitioner - Physician Assistant 9234460502 Reassigns benefits to 2 organizations
I20240403001279 FL Practitioner - Physician Assistant 9234460502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Medical Center Cardiology LLCGroup PAC ID 6800953118, 41 clinicians
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2690

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 11, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 11, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Nov 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Nov 1, 2020 Accepting new patients

Locations

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1090 Amsterdam Ave
Ste 10A
New York, NY 10025
Phone (212) 523-5222

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1033766860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 42ND ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 100",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402892",
            "telephone_number": "516-417-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "DEENA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "023879",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.