Ivan K. Rothman, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

118591 Issued in NY

Practice address

242 Merrick Rd
Ste 301
Rockville Centre, NY 11570-5254

Phone

(516) 536-1455

Fax

(516) 536-1598

NPI assigned

Jul 19, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1417956699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MERRICK RD",
            "address_2": "STE 301",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705254",
            "telephone_number": "516-536-1455",
            "fax_number": "516-536-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MERRICK RD",
            "address_2": "STE 301",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705254",
            "telephone_number": "516-536-1455",
            "fax_number": "516-536-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "IVAN",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "118591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#",
            "identifier": "W15181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00242791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis M Rosner, MD
• Lisa Rostron, OTR
• Mariana Rotenberg Rotenberg
• Neil M Rothberg, M.A., C.A.S.A.C.
• Louise Rothfeld, SPEECH PATHOLOGIST
• Marie H Rothschild, MSW
• Anne Marie Rottkamp-Dooney
• Mews Rousseau, MD
• Megan Rowland, OTR/L
• Nancy G Rozran, DPM

• Hematology & Oncology Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.