Physician Compare National (NPI:1881729150)

HEALTHCARE PROVIDER: STUART MARK ROTHMAN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881729150
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446398283
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110523000810
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROTHMAN
	Individual professional last name
Provider First Name	STUART
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	349 E NORTHFIELD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	LL3
	Group Practice or individual's line 2 address
City	LIVINGSTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070394808
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y