Active NPI
Kenneth Rothstein, MD
- Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD044179E
- Practice address
- 3400 Civic Center Blvd FL 4
Philadelphia, PA 19104 - Phone
- (215) 349-8222
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Hepatology Physician | 207RT0003X | MD044179E | PA | |
| Gastroenterology Physician | 207RG0100X | MD044179E | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD044179E | PA |
Addresses
Primary practice location
3400 Civic Center Blvd FL 4
Philadelphia, PA 19104
Mailing address
3400 Civic Center Blvd FL 4
Philadelphia, PA 19104-5127
Phone (215) 349-8222
Other practice location 1
3400 Spruce St
2 Dulles
Philadelphia, PA 19104
Phone (215) 349-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001237178 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Emory University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical GroupClinical Health Care Associates of New Jersey PC
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 349-8222
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-4000
5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (215) 662-6200
777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- University Medical Center of Princeton at Plainsboro
- Penn Presbyterian Medical Center
- Doylestown Hospital
- Chester County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044179E | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Gastroenterology | Current | Accepting new patients |
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| University of Penn - Medical Group | Gastroenterology | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Internal Medicine | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, P.C. | Internal Medicine | Current | Accepting new patients |
| University of Penn - Medical Group | Past | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
5 Plainsboro Rd
Ste 450
Plainsboro, NJ 08536
Phone (609) 477-3025
155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828
1501 Lansdowne Ave
Fl 1
Darby, PA 19023
Phone (610) 237-2531
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Civic Center Blvd
Fl 4
Philadelphia, PA 19104
Phone (215) 662-3580
3400 Spruce St
Fl 3
Philadelphia, PA 19104
3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618
PO B0x 824320
Philadelphia, PA 19182
3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428
777 Township Line Rd
Yardley, PA 19067
Phone (215) 399-6011
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 13
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.
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
Internal Medicine
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1477660173
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Internal Medicine
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
Internal Medicine
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1386751089
-
- Diagnostic Radiology Physician
- Cherry Hill, NJ
- NPI 1821447103
-
- Otolaryngology Physician
- Hillsborough, NJ
- NPI 1962977249
-
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1760449169
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1790753317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD FL 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-349-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD FL 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-349-8222"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_2": "2 Dulles",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19104",
"country_code": "US",
"telephone_number": "215-349-8222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "PA",
"license": "MD044179E",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD044179E",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD044179E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001237178",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.