MR. ANDREW S ROTJAN FNP-BC, AGACNP-BC
NPI 1679952162
Nurse Practitioner - Family in Bay Shore, NY
About Mr. Andrew S Rotjan Fnp-bc, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANDREW S ROTJAN FNP-BC, AGACNP-BC (NPI 1679952162) is an individual family provider in Bay Shore, New York, licensed in New York (339649) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Port Jefferson.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Andrew S Rotjan Fnp-bc, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
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 Andrew Rotjan's NPI number?
The NPI number for Andrew Rotjan is 1679952162. It was assigned to this individual provider in the NPPES registry on May 29, 2015.
Where is Andrew Rotjan located?
Andrew Rotjan practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 396-6150.
What is Andrew Rotjan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrew Rotjan enrolled in Medicare?
Yes. Andrew Rotjan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andrew Rotjan was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Andrew S Rotjan, FNP-BC, AGACNP-BC · NPI 1679952162
Family physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since May 29, 2015.
## Identity
- **NPI:** 1679952162 (Entity type: Individual)
- **Enumerated:** May 29, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339649 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E MAIN ST, Bay Shore, NY 11706-8408
- **Phone:** (631) 396-6150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1679952162) · Data from the CMS NPPES public registry.