Individual
NANCY A ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675
(201) 666-1000
(201) 666-7610
Mailing address
215 OLD TAPPAN RD, OLD TAPPAN PEDIATRICS, OLD TAPPAN, NJ 07675
(201) 666-1000
(201) 666-7610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MB05630800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040056308NJ01
ANTHEM HEALTH
—
01
—
13347
USHC
—
01
—
1979064
UNITED HLTHCR
—
01
—
221941517009
PRUDENTIAL
—
01
—
23785
MASTERCARE
—
01
—
4233290
AETNA
—
01
—
4241232
AETNA
—
01
—
58H201
EMPIRE HLTHCR
—
05
—
7909705
—
NJ
01
—
80672
AMERIGROUP
—
01
—
8849471008
CIGNA
—
01
—
998604
HEALTHNET REFERRAL
—
01
—
BP197
OXFORD
—
01
—
F01397
HEALTHNET
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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