Individual provider Active NPI

Seth David Rotman, RN, NC-BC, ADHD-CCSP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1063367308
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN643736 Issued in PA
Practice address
34 W Mount Pleasant Ave
Philadelphia, PA 19119-2409
Phone
(267) 282-1213
NPI assigned
Mar 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X RN643736 PA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN643736 PA Primary

Addresses

Primary practice location

34 W Mount Pleasant Ave
Philadelphia, PA 19119-2409

Mailing address

34 W Mount Pleasant Ave
Philadelphia, PA 19119-2409
Phone (267) 282-1213

Other practice location 1

1735 Market St Fl 52
Philadelphia, PA 19103-7507
Phone (267) 282-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN643736PAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1063367308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W MOUNT PLEASANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192409",
            "telephone_number": "267-282-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W MOUNT PLEASANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192409",
            "telephone_number": "267-282-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Market St Fl 52",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037507",
            "country_code": "US",
            "telephone_number": "267-282-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "SETH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RN, NC-BC, ADHD-CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "PA",
            "license": "RN643736",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN643736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.