Hazon Rotbart

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

431520 Issued in NY

Practice address

1468 Madison Ave
New York, NY 10029-6508

Phone

(845) 263-2808

NPI assigned

Jul 4, 2019

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1508428020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ETNA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081827",
            "telephone_number": "845-263-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "845-263-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBART",
        "first_name": "HAZON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Laurie Roston, DPS OTR/L
• Rostovsky Medical Practice P.C.
• Anton Rostovsky, M.D.
• Robert Oscar Roswell, MD
• Rosy Husni Nutrition PLLC
• Jenny Lu Rotblat
• Andrea Deborah Rotelli, ND
• Catherine Marie Rotelli, PA-C
• Deborah Carol Rotenberg Moses, LCSW
• Meir Rotenberg, MD

• Acute Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.