Organization Active NPI

Roy a Rothman DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Debary, FL
National Provider Identifier
1952427809
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2059 Issued in FL
Legal business name
ROY A ROTHMAN DPM, PA
Practice address
2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210
Phone
(386) 753-1918
Fax
(386) 753-1902
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Roy A. Rothman, DPMNPI 1679550016
Title
President
Phone
(386) 753-1918

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2059 FL Primary

Addresses

Primary practice location

2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210

Mailing address

2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210
Phone (386) 753-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100716000657 FL Part B Supplier - Clinic/Group Practice 0840322434 Receives reassigned benefits from 1 practitioner
Practice locations: Debary, FL
O20100930015325 FL DME Supplier - Physician - Podiatry 0840322434 Practice locations: Debary, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0716339Roy a Rothman DPM PA2836 Enterprise Road Suite 2, De Bary, FL 32713Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2836 Enterprise Rd
Ste 2
Debary, FL 32713
Phone (386) 753-1918

Practitioners & affiliated clinicians

Practitioners 1

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1952427809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "address_2": "SUITE 2",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-753-1918",
            "fax_number": "386-753-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "address_2": "SUITE 2",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-753-1918",
            "fax_number": "386-753-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A ROTHMAN DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-753-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.