Rotoli Medical Consultants LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB09391900 Issued in NJ

Legal business name

ROTOLI MEDICAL CONSULTANTS LLC

Practice address

103 River Rd Ste 1B
Edgewater, NJ 07020-1016

Phone

(201) 222-9370

Fax

(201) 222-9392

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Domenico Rotoli, D.O,

Title

Attending Physician

Phone

(551) 486-6388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1669855565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072857",
            "telephone_number": "201-222-9370",
            "fax_number": "201-222-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD STE 1B",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-222-9370",
            "fax_number": "201-222-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTOLI MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "ROTOLI",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "551-486-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09391900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MB09391900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverview Acu LLC
• Riverview Gastroenterology, LLC
• Riverview Pain and Spine Institute PC
• Riverview Pain and Spine Institute PC
• Madeline Rodriguez-Hirsch, MSN, APRN, CDCES
• Domenico Rotoli, DO
• Seymon Roytberg, DDS
• Victoria M Salce
• Essam A Saleh
• Rowena P Sayson, PT

• Internal Medicine Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.