Individual provider Active NPI

Jeremy Rothfleisch, M.D.

  • Specialist
  • East Brunswick, NJ
National Provider Identifier
1790774883
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA72361 Issued in NJ
Practice address
603 Cranbury Rd
East Brunswick, NJ 08816-4031
Phone
(732) 545-5366
Fax
(732) 254-1038
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA72361 NJ Primary

Addresses

Primary practice location

603 Cranbury Rd
East Brunswick, NJ 08816-4031

Mailing address

603 Cranbury Rd
East Brunswick, NJ 08816-4031
Phone (732) 545-5366

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
I20110512000831 NJ Practitioner - Dermatology 8325224082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rita Weinstein MD PAGroup PAC ID 0244410892, 2 clinicians

Practice addresses (Care Compare)

603 Cranbury Rd
East Brunswick, NJ 08816-4145
Phone (732) 545-5366

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions2312
Skin biopsy185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72361NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rita Weinstein MD PA Specialist CurrentSince Jul 25, 2001 Accepting new patients

Locations

603 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 545-5366

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1790774883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164031",
            "telephone_number": "732-545-5366",
            "fax_number": "732-254-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164031",
            "telephone_number": "732-545-5366",
            "fax_number": "732-254-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFLEISCH",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA72361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.