Bennett C. Rothenberg, M.D., F.a.C.S., L.L.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA05236700 Issued in NJ

Legal business name

BENNETT C. ROTHENBERG, M.D., F.A.C.S., L.L.C.

Practice address

22 Old Short Hills Rd
Suite 101
Livingston, NJ 07039-5604

Phone

(973) 994-3311

Fax

(973) 994-7005

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bennett Charles Rothenberg, M.D.NPI 1154481281

Title

President

Phone

(973) 994-3311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bennett Charles Rothenberg, M.D.

  • Specialist
  • Livingston, NJ
  • NPI 1154481281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1578861373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 101",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-3311",
            "fax_number": "973-994-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 101",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-3311",
            "fax_number": "973-994-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT C. ROTHENBERG, M.D., F.A.C.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-994-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA05236700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belle Vie Healthcare LLC
• John Paul Belluardo, DC
• Katharine Bellucci, PT, DPT
• Rebecca Beltrone
• Sidney Earl Bender, M.D.
• Melwin Benny
• Jessica Bente
• Julie L Benton
• Miro Bergam, M.D.
• Yochanan Berkowitz, LCSW

• Plastic and Reconstructive Surgery Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.