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DR. CARLY JENNIFER ROTHMAN DO
NPI 1689101149
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Hackensack, NJ

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2042 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, Feb 15, 2022, Jul 20, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Carly Jennifer Rothman Do NPPES

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

DR. CARLY JENNIFER ROTHMAN DO (NPI 1689101149) is an individual pediatric rehabilitation medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MB11914800) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689101149
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameDR. CARLY JENNIFER ROTHMANCredential: DO
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-2042
Phone(551) 996-2042
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateAugust 29, 20236 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1689101149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in NJ · 25MB11914800
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
30 PROSPECT AVE, Hackensack, NJ 07601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Carly Jennifer Rothman Do 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 ID3375888761
PECOS Enrollment IDI20230928004249
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 Carly Rothman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Complex Care PC
38 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800

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

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Carly Rothman's NPI number?

The NPI number for Carly Rothman is 1689101149. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Carly Rothman located?

Carly Rothman practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2042.

What is Carly Rothman's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Carly Rothman enrolled in Medicare?

Yes. Carly 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 Carly Rothman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Rothman reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, 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 Carly Rothman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Rothman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carly 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 Carly Rothman was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.