ANDREAS D. ROTSIDES, MD, LLC
NPI 1104880061
Internal Medicine in Mine Hill, NJ

Active since April 16, 2006CLIA 31D1047860 · Waiver
195 US HIGHWAY 46, SUITE 200, MINE HILL, NJ 07803(973) 328-1040(973) 328-1544 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andreas D. Rotsides, Md, Llc NPPES

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

ANDREAS D. ROTSIDES, MD, LLC (NPI 1104880061) is a healthcare organization registered as an internal medicine in Mine Hill, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Andreas D Rotsides, Owner, as its authorized official.

NPPES Registry Identity

NPI1104880061
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANDREAS D. ROTSIDES, MD, LLC
Location Address195 US HIGHWAY 46, SUITE 200Mine Hill, NJ 07803-3163
Mailing Address195 Us Highway 46, Suite 200Mine Hill, NJ 07803-3163 · (973) 328-1040 · Fax (973) 328-1544
Fax(973) 328-1544
Organization SubpartNo
Authorized OfficialAndreas D RotsidesOwner · (973) 328-1040
Enumeration DateApril 16, 2006
Last NPPES UpdateSeptember 8, 2009
NPI 1104880061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA05010400
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 25MA05010400 (NJ)
195 US HIGHWAY 46, Mine Hill, NJ 07803

Other Identifiers 5

OtherDG4164NJ · Railroad Medicare Grp
Other2352899001NJ · Amerihealth Group Id
Medicare ID-Type Unspecified090981NJ · Medicare Group Id
Medicaid0077241NJ
Medicare PIN090981NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1047860

Andreas D Rotsides, MD LLC · Mine Hill, NJ
Active · expires Nov 15, 2027
CLIA Number31D1047860
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorAndreas D. Rotsides
Laboratory Phone(973) 328-1040
Laboratory LocationAndreas D Rotsides, MD LLC195 Us Highway 46 Suite 200, Mine Hill, NJ 07803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Primary Care)
195 US HIGHWAY 46
MINE HILL, NJ 07803
Internal Medicine
195 US HIGHWAY 46, SUITE 200
MINE HILL, NJ 07803
Nurse Practitioner (Primary Care)
195 US HIGHWAY 46, SUITE 200
MINE HILL, NJ 07803
Internal Medicine (Gastroenterology)
195 US HIGHWAY 46, SUITE 203
MINE HILL, NJ 07803
Internal Medicine (Nephrology)
195 US HIGHWAY 46, SUITE 101
MINE HILL, NJ 07803
Surgery (Vascular Surgery)
195 US HIGHWAY 46, SUITE 201
MINE HILL, NJ 07803
Nurse Practitioner (Family)
195 US HIGHWAY 46
MINE HILL, NJ 07803

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 Andreas D. Rotsides, MD, LLC's NPI number?

The NPI number for Andreas D. Rotsides, MD, LLC is 1104880061. It was assigned to this organization in the NPPES registry on April 16, 2006.

Where is Andreas D. Rotsides, MD, LLC located?

Andreas D. Rotsides, MD, LLC is located at 195 Us Highway 46 Suite 200, Mine Hill, NJ 07803. The listed phone number is (973) 328-1040.

What is Andreas D. Rotsides, MD, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Andreas D. Rotsides, MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1047860) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Andreas D. Rotsides, MD, LLC was last updated on September 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.