A Jerald Rothenberg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-039336 Issued in IL

Practice address

2270 Arbeleda LN
Northbrook, IL 60062

Phone

(847) 254-2453

NPI assigned

Mar 21, 2006

Last updated

Mar 1, 2016By the provider in NPPES

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endocrinology & Metabolism Consultants, LTD

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  • Skokie, IL
  • NPI 1588742282
  NPD (past)
• Merrill J Zahtz MD SC

  • Specialist
  • Evanston, IL
  • NPI 1487833489
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1184683765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ARBELEDA LN",
            "address_2": "SUITE 408",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627605",
            "telephone_number": "847-866-6600",
            "fax_number": "847-475-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ARBELEDA LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-254-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "A",
        "middle_name": "JERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-039336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360393361",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth W. Ross, LCPC
• Carly Ross
• Jeffrey Steven Ross, M.D.
• Marzena Renata Rossner
• Rotary Recovery LLC
• Steven E Rothke, PH.D.
• Alan S. Rothstein, D.P.M.
• Elisa Rotman, LCSW
• Mary K Rotramel
• Roundys Supermarkets Inc (Mariano's Pharmacy #8532)

• Specialist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.