Kristen Marie Rothenberg, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9109068 Issued in FL

Practice address

2734 SW 37TH Ave
Coconut Grove, FL 33133-2728

Phone

(305) 642-4263

NPI assigned

Nov 9, 2015

Sex

Female

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 FL

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

Specialty

Physician Assistant

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miami Hand PLLCGroup PAC ID 3476686338, 13 clinicians

Miami Breast Center LLCGroup PAC ID 3678756467, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Miami Breast Center LLC

  • Specialist
  • Key Biscayne, FL
  • NPI 1063726099
  Medicare reassignment Care Compare group
• Miami Hand PLLC

  • Specialist
  • Coconut Grove, FL
  • NPI 1295062610
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1588037865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332728",
            "telephone_number": "305-642-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332728",
            "telephone_number": "305-642-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Rivero, D.C.
• Jessica Rodriguez, ARNP
• Rachel D Rodriguez
• Gloria E Rojas
• Jose Rosa, OTR/L
• Christine M Rowlee, MS CCC-SLP
• Geoffrey Rudy
• Beatriz Salazar, OTR/L
• Jonathan Sanchez, CBHCM, BA
• Sucel Sanchez, RBT

• Surgical Physician Assistant in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.