Individual provider Active NPI

Fabienne Rottenberg, D.P.M.

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1992714026
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004131-1 Issued in NY
Practice address
285 West End Avenue
Suite 4Y
New York, NY 10023-2618
Phone
(212) 724-4457
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004131-1 NY Primary

Addresses

Primary practice location

285 West End Avenue
Suite 4Y
New York, NY 10023-2618

Mailing address

285 West End Avenue
Suite 4Y
New York, NY 10023-2618
Phone (212) 724-4457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051202000707 NY Practitioner - Podiatry 0143240275 Practice locations: New York, NY
O20100930091169 NY DME Supplier - Physician - Podiatry 7416078308 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Riverside Dr
4Yw
New York, NY 10023-2835
Phone (212) 724-4457

285 W End Ave
Suite 4Yw
New York, NY 10023-2835

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue658
Removal or shaving of skin growth224
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004131-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Hospital Past Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1992714026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 WEST END AVENUE",
            "address_2": "SUITE 4Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232618",
            "telephone_number": "212-724-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 WEST END AVENUE",
            "address_2": "SUITE 4Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232618",
            "telephone_number": "212-724-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTENBERG",
        "first_name": "FABIENNE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004131-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.