MADISON LEIGH ROTHMAN
NPI 1053259242
Nurse Practitioner - Psychiatric/Mental Health in Long Branch, NJ

Active since March 23, 2026PECOS EnrolledAccepts Medicare Assignment
300 2ND AVE, LONG BRANCH, NJ 07740(732) 923-6900 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Leigh Rothman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON LEIGH ROTHMAN (NPI 1053259242) is an individual psychiatric/mental health provider in Long Branch, New Jersey, licensed in New Jersey (26NJ15543000) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053259242
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMADISON LEIGH ROTHMAN
Location Address300 2ND AVELong Branch, NJ 07740-6303
Mailing Address300 2nd AveLong Branch, NJ 07740-6303 · (732) 923-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1053259242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15543000
300 2ND AVE, Long Branch, NJ 07740

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Leigh Rothman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789153958
PECOS Enrollment IDI20260518000058
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madison Rothman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner (Adult Health)
300 2ND AVE
LONG BRANCH, NJ 07740
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Internal Medicine
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Rothman's NPI number?

The NPI number for Madison Rothman is 1053259242. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Madison Rothman located?

Madison Rothman practices at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 923-6900.

What is Madison Rothman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Madison Rothman enrolled in Medicare?

Yes. Madison Rothman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Madison Rothman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Rothman reassigns Medicare benefits to Barnabas Health Medical Group, PC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Rothman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Rothman accept?

Health plans from Oscar Health list Madison Rothman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Rothman was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.