Scott Michael Rothenberg, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

054891 Issued in NY

Practice address

685 1St Ave Apt 33D
New York, NY 10016-2365

Phone

(347) 989-2010

NPI assigned

Jul 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1376733410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 1ST AVE APT 33D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162365",
            "telephone_number": "347-989-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 1ST AVE APT 33D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162365",
            "telephone_number": "347-989-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Montgomery St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023726",
            "country_code": "US",
            "telephone_number": "201-332-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Rothenberg, DMD
• Jami Lynn Rothenberg, PH.D.
• Jessica Zara Rothenberg, LMSW
• Marci Rothenberg, MS,CCC-SLP
• Michael Gary Rothenberg, PH.D.
• Susan Rothenberg, MD
• Robert J. Rothenstein, M.D.
• Gary Jay Rothfeld, PHYSICIAN
• Mary B Rothfusz, MHC
• Amy Cypora Rothkopf, RN, MSN, CPNP, MPH

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.