Individual provider Active NPI

Marc Rothman, MD

  • Geriatric Psychiatry Physician
  • Coatesville, PA
National Provider Identifier
1700884889
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD019569E Issued in PA
Practice address
219 Reeceville Rd
Coatesville, PA 19320-1542
Phone
(610) 383-8470
Fax
(610) 383-8295
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA37294 NJ
Geriatric Psychiatry Physician 2084P0805X MA37294 NJ
Geriatric Psychiatry Physician 2084P0805X MD019569E PA Primary

Addresses

Primary practice location

219 Reeceville Rd
Coatesville, PA 19320-1542

Mailing address

1767 Garwood Dr
Cherry Hill, NJ 08003-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000252 NJ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6901975457 Reassigns benefits to 1 organization
Practice locations: Westmont, NJ

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
State University of Ny Upstate Medical University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

175 Madison Ave
FL 6
Mount Holly, NJ 08060-2038
Phone (609) 261-3200

333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (609) 451-6600

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA37294NJMDGeriatric Psychiatry Physician
MD019569EPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatry CurrentSince Jul 1, 2013 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 265-5800

Interoperability endpoints

  • Direct secure messaging: marc.rothman.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1700884889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 GARWOOD DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8470",
            "fax_number": "610-383-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA37294",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "MA37294",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD019569E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.