Gary Jay Rothfeld, PHYSICIAN

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

152173 Issued in NY

Practice address

629 Park Ave FL 1
New York, NY 10065-6530

Phone

(212) 644-4484

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 6, 2016 through Sep 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1356490254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PARK AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656530",
            "telephone_number": "212-644-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PARK AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656530",
            "telephone_number": "212-644-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFELD",
        "first_name": "GARY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "152173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Rothenberg, MS,CCC-SLP
• Michael Gary Rothenberg, PH.D.
• Scott Michael Rothenberg, DDS, MD
• Susan Rothenberg, MD
• Robert J. Rothenstein, M.D.
• Mary B Rothfusz, MHC
• Amy Cypora Rothkopf, RN, MSN, CPNP, MPH
• Elizabeth Bridget Rothlauf, NP
• Rothman Orthopaedics of New York, PLLC
• Adam Craig Rothman

• Procedural Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.