Individual provider Active NPI

Kalman D Rothman

  • Pharmacist
  • Nanuet, NY
National Provider Identifier
1568220002
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025996 Issued in NY
Practice address
55 Old Turnpike Rd Ste 106
Nanuet, NY 10954-2449
Phone
(820) 144-7602
Fax
(845) 627-3220
NPI assigned
Mar 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 025996 NY Primary

Addresses

Primary practice location

55 Old Turnpike Rd Ste 106
Nanuet, NY 10954-2449

Mailing address

PO Box 413
Suffern, NY 10901-0413
Phone (201) 447-6020

Other names 1

  • Kal Rothman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025996NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1568220002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109010413",
            "telephone_number": "201-447-6020",
            "fax_number": "845-627-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD TURNPIKE RD STE 106",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542449",
            "telephone_number": "820-144-7602",
            "fax_number": "845-627-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "KALMAN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAL",
            "last_name": "ROTHMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.