Active NPI
Hal Rothbaum, M.D.
- Obstetrics & Gynecology Physician
- Great Neck, NY
National Provider Identifier
1639265978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 161662
- Practice address
- 233 E Shore Rd
Suite 109
Great Neck, NY 11023-2433 - Phone
- (516) 487-3466
- Fax
- (516) 487-3494
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 161662 | NY | Primary |
Addresses
Primary practice location
233 E Shore Rd
Suite 109
Great Neck, NY 11023-2433
Mailing address
233 E Shore Rd
Suite 109
Great Neck, NY 11023-2433
Phone (516) 487-3466
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5298370 | Other | CIGNA | |
| 557D71 | Other | NY | EMPIRE BLUE CROSS/BS |
| 302004 | Other | UNITED HEALTHCARE | |
| 0023478 | Other | GROUP HEALTH INC. | |
| 4061270 | Other | AETNA | |
| AP080 | Other | OXFORD HEALTH PLANS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161662 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639265978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E SHORE RD",
"address_2": "SUITE 109",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232433",
"telephone_number": "516-487-3466",
"fax_number": "516-487-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E SHORE RD",
"address_2": "SUITE 109",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232433",
"telephone_number": "516-487-3466",
"fax_number": "516-487-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHBAUM",
"first_name": "HAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "161662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5298370",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS/BS",
"identifier": "557D71",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "302004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INC.",
"identifier": "0023478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4061270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "AP080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.