NPIMap

Individual provider Active NPI

Michael Steven Rothberg, MD

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1861498628
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA59550 Issued in NJ
Practice address
2125 RT 88 East
Brick, NJ 08724-3152
Phone
(732) 892-4548
Fax
(732) 892-0961
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 MA59550 NJ Primary

Addresses

Primary practice location

2125 RT 88 East
Brick, NJ 08724-3152

Mailing address

2290 W County Line Rd
Jackson, NJ 08527-2267
Phone (732) 942-4455

Other identifiers 1

IdentifierTypeStateIssuer
5611008MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100212000296 NJ Practitioner - Internal Medicine 2860407756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Hospital & facility affiliations

  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Willow Springs Rehabilitation and Healthcare Cente Nursing home, Brick, NJ, CCN 315213

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59550NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean County Family Care, P.a. Internal Medicine CurrentSince May 13, 1998 Accepting new patients
Somc Medical Group PC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Ocean County Family Care, P.a. PastSince Jan 1, 1990 Accepting new patients
Ocean County Family Care PastSince Jan 1, 1990 Accepting new patients
Ocean County Family Care PastSince Jan 1, 1990 Accepting new patients

Locations

1989 Route 88 E
Brick, NJ 08724
Phone (732) 840-8333

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

400 New Hampshire Ave
Lakewood, NJ 08701
Phone (732) 901-6400

9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222

Interoperability endpoints

  • Direct secure messaging: michael.rothberg@direct.hackensackmeridian.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willow Springs Rehabilitation and Healthcare CenterBrick, NJ, CCN 315213 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2022
Dec 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1861498628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272267",
            "telephone_number": "732-942-4455",
            "fax_number": "732-942-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 RT 88 EAST",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243152",
            "telephone_number": "732-892-4548",
            "fax_number": "732-892-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA59550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5611008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.