Jeffrey S Rothburd, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

131184 Issued in NY

Practice address

5 Westwood CT
Dix Hills, NY 11746-4833

Phone

(516) 972-0630

Fax

(631) 462-0591

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1114020674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WESTWOOD CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464833",
            "telephone_number": "516-972-0630",
            "fax_number": "631-462-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WESTWOOD CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464833",
            "telephone_number": "516-972-0630",
            "fax_number": "631-462-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBURD",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "131184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "665123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary a Panaro LCSW PC
• Tracey Nicole Rosenlicht, OD
• Barbara Ross, RN
• Tori Alexa Ross, SLP-CF/TSSLD
• Yael Roth, MFT
• Dawn Rubin
• Rachel F Rubin, M.A. SLP-CCC
• Linda C Ruhl, LICENSED MENTAL HEAL
• Vincent Ruhl, PHD PSYCHOLOGIST
• Maeling Ruiz

• Cardiovascular Disease Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.

Verify at the official NPI Registry.