Individual provider Active NPI

Moshe M Rothkopf, MD

  • Ophthalmology Physician
  • Lakewood, NJ
National Provider Identifier
1720049588
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04804500 Issued in NJ
Practice address
1195 Highway 70
Lakewood, NJ 08701-5946
Phone
(732) 363-2244
Fax
(732) 363-1825
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA04804500 NJ Primary

Addresses

Primary practice location

1195 Highway 70
Lakewood, NJ 08701-5946

Mailing address

1195 Highway 70
Lakewood, NJ 08701-5946
Phone (732) 363-2244

Other identifiers 1

IdentifierTypeStateIssuer
3421708MedicaidNJ

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
I20050802000117 NJ Practitioner - Ophthalmology 9032005582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Plaza Dr
Toms River, NJ 08757-3761
Phone (732) 341-7010

1195 Hwy 70
Lakewood, NJ 08701-5946
Phone (732) 363-2244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04804500NJMDOphthalmology Physician

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1720049588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 HIGHWAY 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015946",
            "telephone_number": "732-363-2244",
            "fax_number": "732-363-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 HIGHWAY 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015946",
            "telephone_number": "732-363-2244",
            "fax_number": "732-363-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHKOPF",
        "first_name": "MOSHE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04804500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3421708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.