Jeffrey Ross Rothman

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401410450 Issued in VA

Practice address

4825 Mark Center Dr Ste 420
Alexandria, VA 22311-1846

Phone

(703) 370-3012

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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 DC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Maryland at Baltimore School of Dentistry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexandria Oral Surgery, PCGroup PAC ID 2668407669, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Alexandria Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Alexandria, VA
  • NPI 1770707572

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1366482796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 MARK CENTER DR STE 420",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111846",
            "telephone_number": "703-370-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MARK CENTER DR STE 420",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111846",
            "telephone_number": "703-370-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "JEFFREY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401410450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Anne Rothberg, LCSW
• Stephanie Andrea Rothe Villaveces, DPT
• Mitchel Craig Rothholz, RPH
• Barry S Rothman, MD
• Gerald Rothman, D.D.S.
• Peter Gordon Rothschild, M.D.
• Renee Rothschild
• Brittany Rouiller, MSW
• Roundhouse Square Psychiatric Ctr LTD
• Kimmala Shetef Roundtree, FNP-BC

• Oral and Maxillofacial Surgery (Dentist) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.