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DR. GARY JAY ROTHFELD PHYSICIAN
NPI 1356490254
Dermatology - Procedural Dermatology in New York, NY

Active since January 09, 2007Opted out of Medicare · through Sep 6, 2026
629 PARK AVE FL 1, NEW YORK, NY 10065(212) 644-4484 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Jan 13, 2023 (2 updates tracked since 2023).

About Dr. Gary Jay Rothfeld Physician NPPES

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

DR. GARY JAY ROTHFELD PHYSICIAN (NPI 1356490254) is an individual procedural dermatology provider in New York, New York, licensed in New York (152173) and active in the NPI registry since January 2007. He has opted out of Medicare through September 6, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356490254
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameDR. GARY JAY ROTHFELDCredential: PHYSICIAN
Location Address629 PARK AVE FL 1New York, NY 10065-6530
Mailing Address629 Park Ave Fl 1New York, NY 10065-6530 · (212) 644-4484
Phone(212) 644-4484
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1356490254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 152173
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
629 PARK AVE FL 1, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Gary Jay Rothfeld Physician has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 6, 2016 through September 6, 2026.

Opt-Out Effective DateSeptember 6, 2016
Opt-Out In Effect ThroughSeptember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gary Rothfeld's NPI number?

The NPI number for Gary Rothfeld is 1356490254. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Gary Rothfeld located?

Gary Rothfeld practices at 629 Park Ave Fl 1, New York, NY 10065. The listed phone number is (212) 644-4484.

What is Gary Rothfeld's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Gary Rothfeld enrolled in Medicare?

No. Gary Rothfeld has opted out of Medicare through September 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gary Rothfeld was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.