Marc George Rothman, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI01781600 Issued in NJ

Practice address

1701 Wynnwood Dr
Cinnaminson, NJ 08077-3033

Phone

(856) 829-9666

Fax

(856) 829-4363

NPI assigned

Jun 17, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 16, 2026 through Apr 16, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rothman and Kim Oms LLC

  dba Rothman and Kim Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Cinnaminson, NJ
  • NPI 1457247637
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629073390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-829-9666",
            "fax_number": "856-829-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-829-9666",
            "fax_number": "856-829-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "MARC",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01781600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Rodrigues, RPH
• Roephel Convalescent Center, LLC (Cinnaminson Center)
• Rosvold RX LLC (Rosvold Pharmacy)
• Rosvold RX LLC
• Rothman and Kim Oms LLC (Rothman and Kim Oral & Maxillofacial Surgery)
• RS Counseling & Wellness Center
• Morton Frederic Rubinstein, M.D.
• Jaskaran Singh Sadhar, DMD
• Sam's Club Optical (Sam's Club Optical 30-8145)
• Sams East Inc (Sams Pharmacy 10-8145)

• Oral and Maxillofacial Surgery (Dentist) in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.