Individual provider Active NPI

Deborah Rothenberg

  • Surgical Physician Assistant
  • Union, NJ
National Provider Identifier
1104219955
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00362000 Issued in NJ
Practice address
2121 Morris Ave
Union, NJ 07083
Phone
(908) 687-3000
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00362000 NJ Primary

Addresses

Primary practice location

2121 Morris Ave
Union, NJ 07083

Mailing address

377 Jersey Ave Ste 280a
Jersey City, NJ 07302-4691
Phone (201) 716-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181119002165 NJ Practitioner - Physician Assistant 2163732447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

100 Town Square PL
Jersey City, NJ 07310-2778

200 S Orange Ave
Livingston, NJ 07039-5817

377 Jersey Ave
Suite 280a
Jersey City, NJ 07302-4393
Phone (201) 716-5850

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00362000NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 25, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 25, 2018 Accepting new patients
Steven Nehmer MD Past Accepting new patients
Steven L. Nehmer Past Accepting new patients

Locations

519 Broadway
Ste 3700
Bayonne, NJ 07002
Phone (201) 942-4540

1 Clara Maass Dr
Ste 275
Belleville, NJ 07109

433 Hackensack Ave
#2
Hackensack, NJ 07601

433 Hackensack Ave
Fl 2
Hackensack, NJ 07601
Phone (201) 343-1717

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

100 Town Square Pl
Ste 208
Jersey City, NJ 07310
Phone (201) 716-5850

377 Jersey Ave
Ste 280A
Jersey City, NJ 07302
Phone (201) 716-5850

377 Jersey Ave
Ste 550
Jersey City, NJ 07302
Phone (201) 716-5850

377 Jersey Ave
Ste 230
Jersey City, NJ 07302
Phone (201) 332-1102

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

225 Millburn Ave
Ste 104B
Millburn, NJ 07041
Phone (973) 379-5888

130 Kinderkamack Rd
Ste 300
River Edge, NJ 07661
Phone (201) 489-2727

Organizations & group practices 4

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 4

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1104219955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 280A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024691",
            "telephone_number": "201-716-5850",
            "fax_number": "201-915-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-687-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00362000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.