Active NPI
Mario Rottenberg, MD
- Urology Physician
- Brooklyn, NY
National Provider Identifier
1871521278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 097895-1
- Practice address
- 3041 Avenue U
2ND FL
Brooklyn, NY 11229-5126 - Phone
- (718) 692-0020
- Fax
- (718) 692-1739
- NPI assigned
- Jun 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 097895-1 | NY | Primary |
Addresses
Primary practice location
3041 Avenue U
2ND FL
Brooklyn, NY 11229-5126
Mailing address
3041 Avenue U
2ND FL
Brooklyn, NY 11229-5126
Phone (718) 692-0020
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097895-1 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1871521278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3041 AVENUE U",
"address_2": "2ND FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295126",
"telephone_number": "718-692-0020",
"fax_number": "718-692-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 AVENUE U",
"address_2": "2ND FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295126",
"telephone_number": "718-692-0020",
"fax_number": "718-692-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTENBERG",
"first_name": "MARIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "097895-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.