DR. NATHAN IRA ROTHMAN MD
NPI 1285616136
Internal Medicine - Pulmonary Disease in Lawrence, NY

Q: What is Nathan Rothman's NPI number?

The NPI number for Nathan Rothman is 1285616136. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Nathan Rothman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Rothman was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment

83.67/100

CMS Quality Rating

360 CENTRAL AVE, STE 113, LAWRENCE, NY 11559(516) 569-6966(516) 569-4026 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Nathan Ira Rothman Md NPPES

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

DR. NATHAN IRA ROTHMAN MD (NPI 1285616136) is an individual pulmonary disease provider in Lawrence, New York, licensed in New York (124197) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1974).

NPPES Registry Identity

NPI1285616136

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. NATHAN IRA ROTHMANCredential: MD

Location Address360 CENTRAL AVE, STE 113Lawrence, NY 11559

Mailing Address360 Central Ave, Ste 113Lawrence, NY 11559 · (516) 569-6966 · Fax (516) 569-4026

Phone(516) 569-6966

Fax(516) 569-4026

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1974

Enumeration DateNovember 16, 2005

Last NPPES UpdateSeptember 18, 2017

✔ NPI 1285616136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NY · 124197

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

360 CENTRAL AVE, Lawrence, NY 11559

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC08415

Medicare ID-Type Unspecified306601

Medicaid00250248NY

Other124197NY · License

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

Dr. Nathan Ira Rothman Md 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 ID6800813064

PECOS Enrollment IDI20060927000297

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 Reassignments

Medicare enrollment records show Nathan Rothman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Shore Pulmonary Medicine PC

Same address

Pulmonary Disease

360 CENTRAL AVE, SUITE 113
Lawrence, NY 11559

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1750451001 (516) 569-6966

St John's Medical Services PC

1.9 mi

Internal Medicine

327 BEACH 19TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, New York enrollment
149 clinicians in this Medicare group

NPI 1023042173 (718) 869-7641

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

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

349 services215 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

244 services100 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

233 services145 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

228 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

214 services123 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

162 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services77 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

90 services86 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

65 services64 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

65 services64 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

62 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

52 services51 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

46 services38 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

45 services39 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

40 services37 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

35 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330259

Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County

Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330395

Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11559 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.01

Promoting Interoperability

Improvement Activities

Cost

39.58

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers29 claims29 services$33.21 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers19 claims19 services$76.71 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers16 claims34 services$26.33 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers25 claims144 services$15.46 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers21 claims114 services$12.56 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers48 claims48 services$43.79 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers43 claims43 services$14.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers37 claims37 services$9.74 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers62 claims355 services$1.67 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers23 claims23 services$4.57 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers26 claims26 services$10.34 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers45 claims47 services$12.96 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers18 claims18 services$903.67 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers14 claims14 services$47.50 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$3.08 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers62 claims64 services$29.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers152 claims159 services$63.48 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers86 claims90 services$34.78 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers21 claims1,200 services$5.10 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,020 services$6.57 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers27 claims2,114 services$0.83 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers28 claims147,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$33.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers39 claims39 services$26.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

DR. SHARONA EISENREICH DR

Psychologist (School)

360 CENTRAL AVE
LAWRENCE, NY 11559

Nassau County (347) 881-6657

MILKA LOWINGER

Social Worker (Clinical)

360 CENTRAL AVE
LAWRENCE, NY 11559

Nassau County (845) 608-6514

DR. PAUL B SCHNEIDER DMD

Dentist (Periodontics)

360 CENTRAL AVE
LAWRENCE, NY 11559

Nassau County (516) 569-6686

MR. LEE ROBERT KRAMER MSW

Social Worker (Clinical)

360 CENTRAL AVE, SUITE 110
LAWRENCE, NY 11559

Nassau County (516) 569-8455

DR. GILA JEDWAB DMD

Dentist

360 CENTRAL AVE, SUITE 112
LAWRENCE, NY 11559

Nassau County (516) 295-9203

ESTHER GOLDSTEIN LMSW/LCSW/CASAC

Social Worker (Clinical)

360 CENTRAL AVE
LAWRENCE, NY 11559

Nassau County (347) 903-7835

SOUTH SHORE PULMONARY MEDICINE PC

Internal Medicine (Pulmonary Disease)

360 CENTRAL AVE, SUITE 113
LAWRENCE, NY 11559

Nassau County (516) 569-6966

LEONARD A FEINER MD PC

Ophthalmology

360 CENTRAL AVE
LAWRENCE, NY 11559

Nassau County (516) 569-5644

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 Nathan Rothman's NPI number?

The NPI number for Nathan Rothman is 1285616136. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Nathan Rothman located?

Nathan Rothman practices at 360 Central Ave Ste 113, Lawrence, NY 11559. The listed phone number is (516) 569-6966.

What is Nathan Rothman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nathan Rothman enrolled in Medicare?

Yes. Nathan 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 organizations bill Medicare for Nathan Rothman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Rothman reassigns Medicare benefits to 2 organizations: South Shore Pulmonary Medicine PC (Lawrence, NY) and St John's Medical Services PC (Far Rockaway, NY). Each 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 Nathan Rothman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nathan Rothman affiliated with any hospitals?

According to CMS data, Nathan Rothman is affiliated with Mercy Medical Center and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Nathan Rothman was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.