Herman M Davidovicz & Stuart Rothman PTR

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

HERMAN M DAVIDOVICZ & STUART ROTHMAN PTR

Practice address

45 N Station PLZ
Room 305
Great Neck, NY 11021-5033

Phone

(516) 487-4466

Fax

(516) 487-4485

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Stuart Rothman, PHDNPI 1275611303

Title

Partner

Phone

(516) 487-4466

Specialties & licenses 1

Addresses

Other names 1

• LI Neuri Psychological Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Rothman, PH.D.

  • Clinical Neuropsychologist
  • Great Neck, NY
  • NPI 1275611303
  Medicare reassignment NPD Authorized official
• Herman M. Davidovicz, PH.D.

  • Psychologist
  • Great Neck, NY
  • NPI 1376631754
  NPD (past)

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1235596263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ",
            "address_2": "ROOM 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215033",
            "telephone_number": "516-487-4466",
            "fax_number": "516-487-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ",
            "address_2": "ROOM 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215033",
            "telephone_number": "516-487-4466",
            "fax_number": "516-487-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN M DAVIDOVICZ & STUART ROTHMAN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-487-4466",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LI Neuri Psychological Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Jeoffrey Heller, DMD
• Hello Acupuncture PC
• Helping Hand Speech PLLC
• Valentina Hematian, LMSW
• Nancy Hemwani
• Arielle Herman
• Jerome Herman, DDS
• Neshama Rose Herman
• Robert Don Herman
• Arielle Hershkovich

• Clinical Neuropsychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.