Active NPI
Frederic R Rothman, M.D.
- Dermatology Physician
- Verona, NJ
National Provider Identifier
1952360141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA20689
- Practice address
- 60 Pompton Ave
Verona, NJ 07044-2946 - Phone
- (973) 994-3550
- Fax
- (973) 994-1863
- NPI assigned
- Mar 17, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA20689 | NJ | Primary |
Addresses
Primary practice location
60 Pompton Ave
Verona, NJ 07044-2946
Mailing address
60 Pompton Ave
Verona, NJ 07044-2946
Phone (973) 571-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA20689 | NJ | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952360141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 POMPTON AVE",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442946",
"telephone_number": "973-571-2121",
"fax_number": "973-994-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 POMPTON AVE",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442946",
"telephone_number": "973-994-3550",
"fax_number": "973-994-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "FREDERIC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "MA20689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.