Michael Edward Rothman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA050248 Issued in NJ

Practice address

1325 Warren Ave
Ste 6
Spring Lake, NJ 07762-2567

Phone

(732) 268-7663

Fax

(732) 268-7664

NPI assigned

Nov 24, 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 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Alternative Integrated Medical Services L.L.C.

  • Clinic/Center
  • East Brunswick, NJ
  • NPI 1255432779
  NPD (past)
• Eastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Rahway, NJ
  • NPI 1982653564
  NPD (past)
• Integrated Health and Wellness Center LLC

  • Surgery Physician
  • Brielle, NJ
  • NPI 1316078157
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1205902129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622566",
            "telephone_number": "732-268-7663",
            "fax_number": "732-268-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE",
            "address_2": "STE 6",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622567",
            "telephone_number": "732-268-7663",
            "fax_number": "732-268-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA050248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J37850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "00223041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Angela Prugno, MSED, LAC
• Reactiv Rehab & Recovery LLC
• Conor Reilly
• Richard M. Gill, D.C. L.L.C.
• Megan Elizabeth Rigney, M.S., R.D.
• RS Smiles LLC
• Ruthann Russo, LAC
• Salvatore F. Vitale Inc
• Carlie Schuttinger, PHARM.D.
• Lorette Joan Sciarappa, M.D.

• All providers in Spring Lake, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.