Individual provider Active NPI

Paul G Rothberg, PH.D.

  • Clinical Molecular Genetics Physician
  • Rochester, NY
National Provider Identifier
1932110780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
License
CQP26695 ROTHP1 Issued in NY
Practice address
601 Elmwood Ave
University of Rochester Medical Center
Rochester, NY 14642-0001
Phone
(585) 273-2229
Fax
(585) 273-5120
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics Physician 207SG0203X CQP26695 ROTHP1 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
University of Rochester Medical Center
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
University of Rochester Medical Center
Rochester, NY 14642-0001
Phone (585) 273-2229

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CQP26695 ROTHP1NYMDClinical Molecular Genetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932110780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "UNIVERSITY OF ROCHESTER MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-2229",
            "fax_number": "585-273-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "UNIVERSITY OF ROCHESTER MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-2229",
            "fax_number": "585-273-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "NY",
            "license": "CQP26695 ROTHP1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.