Individual provider Active NPI

Yisroel Y Rotberg, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1689511032
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15565900 Issued in NJ
Practice address
415 Carey St
Lakewood, NJ 08701-1747
Phone
(732) 886-6964
NPI assigned
May 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15565900 NJ Primary

Addresses

Primary practice location

415 Carey St
Lakewood, NJ 08701-1747

Mailing address

415 Carey St
Lakewood, NJ 08701-1747
Phone (732) 886-6964

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Community Services Corp.Group PAC ID 3274952114, 9 clinicians

Practice addresses (Care Compare)

500 W Kennedy Blvd
Lakewood, NJ 08701-1254
Phone (732) 886-6964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15565900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Community Services Corp. CurrentSince Jun 1, 2026 Accepting new patients

Locations

500 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 517-3037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1689511032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CAREY ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011747",
            "telephone_number": "732-886-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CAREY ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011747",
            "telephone_number": "732-886-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBERG",
        "first_name": "YISROEL",
        "middle_name": "Y",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15565900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.