Active NPI
Donald Rothman, M.D.
- Surgery Physician
- Red Bank, NJ
National Provider Identifier
1356586879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MAO2456800
- Practice address
- 1 Riverview PLZ
Red Bank, NJ 07701-1864 - Phone
- (732) 530-2464
- NPI assigned
- Dec 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MAO2456800 | NJ | Primary |
Addresses
Primary practice location
1 Riverview PLZ
Red Bank, NJ 07701-1864
Mailing address
4 Ambassador Drive
Red Bank, NJ 07701
Phone (732) 842-7639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366505 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO2456800 | NJ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1356586879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AMBASSADOR DRIVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-842-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVERVIEW PLZ",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011864",
"telephone_number": "732-530-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MAO2456800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.