Individual provider Active NPI

Avrohom J Rothstein, RN

  • Emergency Registered Nurse
  • Lakewood, NJ
National Provider Identifier
1780149716
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
746170 Issued in NY
Practice address
159 Forest Park Cir
Lakewood, NJ 08701-5145
Phone
(718) 650-1155
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 746170 NY Primary

Addresses

Primary practice location

159 Forest Park Cir
Lakewood, NJ 08701-5145

Mailing address

159 Forest Park Cir
Lakewood, NJ 08701-5145
Phone (718) 650-1155

Other names 1

  • Mr. Aj Rothstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
746170NYMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1780149716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 FOREST PARK CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015145",
            "telephone_number": "718-650-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 FOREST PARK CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015145",
            "telephone_number": "718-650-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "AVROHOM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "746170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJ",
            "last_name": "ROTHSTEIN",
            "prefix": "MR.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.