Ethan Samuel Rofman, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

29678 Issued in MA

Practice address

123 Grant Ave
Newton Centre, MA 02459-1350

Phone

(781) 687-2405

Fax

(781) 687-2428

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306896527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GRANT AVE",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591350",
            "telephone_number": "781-687-2405",
            "fax_number": "781-687-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GRANT AVE",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591350",
            "telephone_number": "781-687-2405",
            "fax_number": "781-687-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFMAN",
        "first_name": "ETHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "29678",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "29678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ellen Rice, LICSW
• Pamela Falaguerra Riddle
• Laura Rinaldi, MS, MFT
• Wanessa P Risko, MD
• Alyssa Robinson
• Carly Rosen, MA
• Lawrence Elliot Rosenberg, M.D.
• Samuel Caplan Roth, PH.D.
• Elissa B Rottenberg, MD
• Rowe Physical Therapy and Associates

• Geriatric Psychiatry Physician in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.