Miriam Rotberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05797700 Issued in NJ

Practice address

4 Jessica CT
Jackson, NJ 08527-5027

Phone

(732) 367-0975

NPI assigned

May 31, 2021

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1518437474
  NPD

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1366018459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JESSICA CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275027",
            "telephone_number": "732-367-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JESSICA CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275027",
            "telephone_number": "732-367-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBERG",
        "first_name": "MIRIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05797700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dalila Roman, NP
• Ronan Dialysis LLC
• Joanne L Rosenberg, M.A.
• Rachel Rosenberg
• Keith Brian Rosenthal, DPM
• Fruma Raizel Roth, PA-C
• Chava Rothenberg, BCBA
• Shireet Rotkin, MA
• Jeannette Rotondi, LCSW
• Scott Vincent Royer, MA, ATC, LAT

• Clinical Social Worker in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.