Healthcare Provider Details

I. General information

NPI: 1427696947
Provider Name (Legal Business Name): ROTHMAN ORTHOPAEDICS OF NEW YORK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 MADISON AVE FL 34
NEW YORK NY
10022-1010
US

IV. Provider business mailing address

833 CHESTNUT ST STE 520
PHILADELPHIA PA
19107-4430
US

V. Phone/Fax

Practice location:
  • Phone: 888-636-7840
  • Fax:
Mailing address:
  • Phone: 609-677-7003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CHELSEY CONWAY
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 267-845-4119