Active NPI
Allen S Rothman, MD
- Surgery Physician
- New Rochelle, NY
National Provider Identifier
1073640249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 119712
- Practice address
- 421 Hugenot Street
Suite #36
New Rochelle, NY 10801 - Phone
- (914) 633-4070
- Fax
- (914) 633-4139
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29106 | NJ | |
| Surgery Physician | 208600000X | 119712 | NY | Primary |
| Surgery Physician | 208600000X | 17018 | CT |
Addresses
Primary practice location
421 Hugenot Street
Suite #36
New Rochelle, NY 10801
Mailing address
421 Hugenot Street
Suite #36
New Rochelle, NY 10801
Phone (914) 633-4070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WCB229232 | Other | NY | WORKERS COMP |
| 00335415 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17018 | CT | MD | Surgery Physician |
| 29106 | NJ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073640249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 HUGENOT STREET",
"address_2": "SUITE #36",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-633-4070",
"fax_number": "914-633-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 HUGENOT STREET",
"address_2": "SUITE #36",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-633-4070",
"fax_number": "914-633-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "ALLEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "29106",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "119712",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "17018",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "WCB229232",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00335415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.