Organization Active NPI

Marc Rothman MD PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1871355818
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARC ROTHMAN MD PLLC
Practice address
28 Liberty St
New York, NY 10005-1400
Phone
(415) 205-1229
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Marc Rothman, MDNPI 1184672040
Title
President
Phone
(415) 205-1229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

28 Liberty St
New York, NY 10005-1400

Mailing address

85 Delancey St
New York, NY 10002-3182
Phone (415) 205-1229

Other practice location 1

820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone (415) 205-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ, NY, FL, IL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20240425000439 KY Part B Supplier - Clinic/Group Practice 8325488307 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20250520000605 NJ Part B Supplier - Clinic/Group Practice 8325488307 Receives reassigned benefits from 1 practitioner
Practice locations: Ewing, NJ
O20250604001147 NY Part B Supplier - Clinic/Group Practice 8325488307 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20250911000957 FL Part B Supplier - Clinic/Group Practice 8325488307 Receives reassigned benefits from 1 practitioner
Practice locations: Ponte Vedra, FL
O20251125000754 IL Part B Supplier - Clinic/Group Practice 8325488307 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Locations

4210 Valley Ridge Blvd
Ste 132
Ponte Vedra, FL 32081
Phone (415) 205-1229

85 Delancey St
New York, NY 10002
Phone (800) 273-8255

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1871355818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023182",
            "telephone_number": "415-205-1229",
            "fax_number": "888-299-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LIBERTY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051400",
            "telephone_number": "415-205-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Bear Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281021",
            "country_code": "US",
            "telephone_number": "415-205-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARC ROTHMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-205-1229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.