# NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790977056
- **Authorized official:** STEPHEN TOBIAS ROTHBART MD (OWNER)
- **Authorized official phone:** (973) 926-8590

## Contact information

- **Practice address:** 201 LYONS AVE, NEWARK, NJ 07112
- **Practice address phone:** (973) 926-8590
- **Practice address fax:** (973) 926-6758
- **Mailing address:** 201 LYONS AVE, NEWARK, NJ 07112
- **Mailing address phone:** (973) 926-8590
- **Mailing address fax:** (973) 926-6758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MA35123 | NJ | Yes |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | MA03512300 | NJ | — |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 04/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09385M4V | MEDICARE ID | NJ |
| 05 | — | 8437807 | — | NJ |