Kathleen Anne Rotan, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1100305171 Issued in NY

Practice address

2 Christopher CT
West Islip, NY 11795-2635

Phone

(631) 327-8010

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

No

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1275002891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHRISTOPHER CT",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952635",
            "telephone_number": "631-327-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHRISTOPHER CT",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952635",
            "telephone_number": "631-327-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1100305171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rommel
• Maryanne Rosario, DPT
• Cynthia Rosenthal, D.O.
• Peter Laurence Rosenthal, D.D.S.
• Christine A Rossner, L. AC.
• Christopher Roth, PT
• Katherine Rowan, MD
• Preya Roy, PA-C
• Jo Ann P. Ruderman, R.N.
• Joseph D Ruffo, D.P.M.

• Specialist in West Islip, NY
• Providers in West Islip, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.