Individual provider Active NPI

Meghan B Rothrock

  • Pediatric Nurse Practitioner
  • Catskill, NY
National Provider Identifier
1528612892
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383040 Issued in NY
Practice address
159 Jefferson HTS Ste C103
Catskill, NY 12414-1204
Phone
(518) 943-2557
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383040 NY Primary

Addresses

Primary practice location

159 Jefferson HTS Ste C103
Catskill, NY 12414-1204

Mailing address

42 Gunpowder Dr Unit 2166
Athens, NY 12015-4205

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000647 NY Practitioner - Nurse Practitioner 8921338278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Oct 9, 2019 Accepting new patients
Columbia Memorial Hospital CurrentSince Oct 9, 2019 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

159 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-0212

159 Jefferson Hts
Ste C103
Catskill, NY 12414
Phone (518) 943-2557

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

813 Warren St
Hudson, NY 12534
Phone (518) 822-9111

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1528612892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GUNPOWDER DR UNIT 2166",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "120154205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 JEFFERSON HTS STE C103",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141204",
            "telephone_number": "518-943-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "MEGHAN",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.