NPIMap

Individual provider Active NPI

Alan Herbert Rothberger, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1730114620
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
139223 Issued in NY
Practice address
825 Ocean Pkwy
Apt BB
Brooklyn, NY 11230-2755
Phone
(718) 421-0047
Fax
(718) 859-3017
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139223 NY Primary

Addresses

Primary practice location

825 Ocean Pkwy
Apt BB
Brooklyn, NY 11230-2755

Mailing address

825 Ocean Pkwy
Apt BB
Brooklyn, NY 11230-2755
Phone (718) 421-0047

Other identifiers 3

IdentifierTypeStateIssuer
46A241OtherNYEMPIRE BC
P00153171OtherRR MEDICARE
00582485MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000891 NY Practitioner - Internal Medicine 9931225315 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

825 Ocean Pkwy
Suite BB
Brooklyn, NY 11230-2755

825 Ocean Pkwy BB
Brooklyn, NY 11230-2755
Phone (718) 421-0047

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
55.51 of 100Reported as individual
Quality
80
Improvement activities
0
Cost
78.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139223NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alanrothberger@mai.allscriptsdirect.net

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1730114620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OCEAN PKWY",
            "address_2": "APT BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302755",
            "telephone_number": "718-421-0047",
            "fax_number": "718-859-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OCEAN PKWY",
            "address_2": "APT BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302755",
            "telephone_number": "718-421-0047",
            "fax_number": "718-859-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERGER",
        "first_name": "ALAN",
        "middle_name": "HERBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "46A241",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00153171",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.