Nicole Rothenberg MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NICOLE ROTHENBERG MD PLLC

Practice address

29275 Northwestern Hwy Ste 202
Southfield, MI 48034-5744

Phone

(248) 996-8332

Fax

(734) 779-5050

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Rothenberg, MDNPI 1609093491

Title

Owner / Physician

Phone

(248) 891-2447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Le Rothenberg, MD

  • Family Medicine Physician
  • Novi, MI
  • NPI 1609093491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1275355562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345744",
            "telephone_number": "248-996-8332",
            "fax_number": "734-779-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345744",
            "telephone_number": "248-996-8332",
            "fax_number": "734-779-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE ROTHENBERG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "248-891-2447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Nichols, BSW
• Marisa Leigh Nichols, PA-C
• Carolyn J. Nicholson, LMSW
• Breanna Nicks
• Nicole Guza Counseling PLLC
• Janae Niedzwiecki
• Jeffrey Nigl, MD
• Nilsson Counseling, LLC
• Leslie Ann Nilsson, M.S.W.
• Nine Short Months Doula Midwifery Service Inc (Nine Short Months Birth & Community Wellness Center)

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.