Active NPI
Roxana Rotman, DDS
- Dentist
- Middle VLG, NY
National Provider Identifier
1740477363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 045999
- Practice address
- 7530 Metroplitan Ave
Middle VLG, NY 11379 - Phone
- (718) 894-4475
- Fax
- (718) 326-0077
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 045999 | NY | Primary |
Addresses
Primary practice location
7530 Metroplitan Ave
Middle VLG, NY 11379
Mailing address
7530 Metroplitan Ave
Middle VLG, NY 11379
Phone (718) 894-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01574583 | Medicaid | NY |
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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 10, 2016 through Feb 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045999 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxana Rotman DDS PC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Middle Village, NY
- NPI 1972001782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1740477363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 METROPLITAN AVE",
"city": "MIDDLE VLG",
"state": "NY",
"postal_code": "11379",
"telephone_number": "718-894-4475",
"fax_number": "718-326-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 METROPLITAN AVE",
"city": "MIDDLE VLG",
"state": "NY",
"postal_code": "11379",
"telephone_number": "718-894-4475",
"fax_number": "718-326-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTMAN",
"first_name": "ROXANA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "045999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01574583",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middle VLG, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.