Individual provider Active NPI

Daniel Steven Rohmer, M.D.

  • Specialist
  • Middletown, NY
National Provider Identifier
1548370810
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
129656 Issued in NY
Practice address
682 E Main St
Middletown, NY 10940-2646
Phone
(845) 692-0560
Fax
(845) 692-0367
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 129656 NY Primary

Addresses

Primary practice location

682 E Main St
Middletown, NY 10940-2646

Mailing address

682 E Main St
Ste 2B
Middletown, NY 10940-2647
Phone (845) 692-0560

Other identifiers 1

IdentifierTypeStateIssuer
00706712MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101021001129 PA Practitioner - Internal MedicinePractitioner - Nephrology 1557326493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
129656NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Associates PC Past Accepting new patients

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1548370810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "address_2": "STE 2B",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402647",
            "telephone_number": "845-692-0560",
            "fax_number": "845-692-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402646",
            "telephone_number": "845-692-0560",
            "fax_number": "845-692-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHMER",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "129656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00706712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.