Individual provider Active NPI

Craig Michael Rothman, RD CDN

  • Registered Dietitian
  • Warrensburg, NY
National Provider Identifier
1962343871
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
013093 Issued in NY
Practice address
3767 Main St
Warrensburg, NY 12885-1890
Phone
(518) 623-2844
Fax
(518) 623-3416
NPI assigned
Apr 3, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 013093 NY Primary

Addresses

Primary practice location

3767 Main St
Warrensburg, NY 12885-1890

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

161 Carey Rd
Queensbury, NY 12804-7821
Phone (518) 824-8610

Other practice location 2

48 East St
Fort Edward, NY 12828-1811
Phone (518) 824-8630

Other practice location 3

1830 County Route 64
Salem, NY 12865-3404
Phone (518) 824-2571

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address craig.rothman.1@1823.direct.athenahealth.com
Direct Messaging Address craig.rothman.1@1823.direct.athenahealth.com
Direct Messaging Address craig.rothman.1@1823.direct.athenahealth.com
Direct Messaging Address craig.rothman.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001174 NY Practitioner - Registered Dietitian Or Nutrition Professional 7911475512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

1830 County Route 64
Salem, NY 12865-3404
Phone (518) 824-2571

3761 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-3918

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Apr 24, 2026 Accepting new patients
Hudson Headwaters Health Network PastSince Apr 24, 2026 Accepting new patients

Locations

48 East St
Fort Edward, NY 12828
Phone (518) 824-8630

9 Carey Rd
Queensbury, NY 12804

1830 County Route 64
Salem, NY 12865
Phone (518) 824-2571

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • Direct secure messaging: craig.rothman.1@1823.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1962343871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851890",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Carey Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128047821",
            "country_code": "US",
            "telephone_number": "518-824-8610",
            "fax_number": "518-824-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 East St",
            "address_purpose": "LOCATION",
            "city": "Fort Edward",
            "state": "NY",
            "postal_code": "128281811",
            "country_code": "US",
            "telephone_number": "518-824-8630",
            "fax_number": "518-824-2302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 County Route 64",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NY",
            "postal_code": "128653404",
            "country_code": "US",
            "telephone_number": "518-824-2571",
            "fax_number": "833-438-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "RD CDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "013093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.rothman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "161 Carey Rd",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128047821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.rothman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.rothman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1830 County Route 64",
            "city": "Salem",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128653404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.rothman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "48 East St",
            "city": "Fort Edward",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128281811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.