Active NPI
Fabienne Rottenberg
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1306180187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FABIENNE ROTTENBERG
- Practice address
- 285 West End Ave.
4Y
New York, NY 10023-2618 - Phone
- (212) 724-4457
- Fax
- (212) 362-9896
- NPI assigned
- Nov 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fabienne Rottenberg, DPM
- Title
- Owner
- Phone
- (212) 724-4457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
285 West End Ave.
4Y
New York, NY 10023-2618
Mailing address
285 West End Ave.
4Yw
New York, NY 10023-2618
Phone (212) 724-4457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01076360 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091169 | NY | DME Supplier - Physician - Podiatry | 7416078308 |
1 other NPI on this enrollment Practice locations: New York, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
285 W End Ave
Ste 4YW
New York, NY 10023
Phone (212) 724-4457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353283200000",
"number": "1306180187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 WEST END AVE.",
"address_2": "4YW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232618",
"telephone_number": "212-724-4457",
"fax_number": "212-362-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 WEST END AVE.",
"address_2": "4Y",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232618",
"telephone_number": "212-724-4457",
"fax_number": "212-362-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FABIENNE ROTTENBERG",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A",
"authorized_official_last_name": "ROTTENBERG",
"authorized_official_first_name": "FABIENNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-724-4457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01076360",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.