Tatiana Bolotina-Rozman, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL06431800 Issued in NJ

Practice address

6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347

Phone

(732) 955-4141

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1184192098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PAINTED WAGON RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332726",
            "telephone_number": "815-505-4554",
            "fax_number": "732-526-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CORNWALL CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163347",
            "telephone_number": "732-955-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOTINA-ROZMAN",
        "first_name": "TATIANA",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06431800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard J Bodner, MD
• Larissa Bogomolny, DMD
• Fady Boktor
• Nardin Boktor
• Stephanie Bolinder
• Larnie Jamal Booker, M.D.
• Boris Borodulin, M.D.
• Lizabeth A Borrell-Demaio, PT
• Boston Brace International Inc.
• Nardin Botros

• Mental Health Counselor in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.