Jennifer Lynn Rottkamp

Primary specialty

SpecialistTaxonomy code 174400000X

License

493730111 Issued in NY

Practice address

190 Fulton St Apt 1
Second Floor (Side Door)
Farmingdale, NY 11735-2556

Phone

(516) 830-1576

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1598198202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 FULTON ST APT 1",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352556",
            "telephone_number": "516-830-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 FULTON ST APT 1",
            "address_2": "SECOND FLOOR (SIDE DOOR)",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352556",
            "telephone_number": "516-830-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTKAMP",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "493730111",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "493729111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK THERAPY PLACEMENT SERVICES",
            "identifier": "174400000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald C Fagan MD, PC
• Jeffrey Rosa, LMHC
• Karen E Rosen, L.M.T.
• Douglas Rosenberg, LMT
• Murray Rosenbloom, R.PH.
• Jeanne M. Roulet, M.A., CCC/SLP
• Courtney Rubenacker, LMT
• Susanna Lynn Rugolo, LPN
• Nayeiry Ruiz
• Danielle R Ruscio, PSY.D.

• Specialist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.