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JACOB ROTTER MD
NPI 1720547821
Pediatrics in Manhasset, NY

Active since March 18, 2019PECOS Enrolled
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2022, Mar 18, 2019 (2 updates tracked since 2019).

About Jacob Rotter Md NPPES

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

JACOB ROTTER MD (NPI 1720547821) is an individual pediatrics provider in Manhasset, New York, licensed in New York (315541-01) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720547821
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB ROTTERCredential: MD
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816
Phone(516) 562-0100
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1720547821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 315541-01
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 COMMUNITY DR, Manhasset, NY 11030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Rotter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

SAMIT SHAH M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-1427
DR. SAMANTHA LING PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8761
DR. DIANA RACHAEL NORDQUIST MD
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8630
DR. STEPHEN JOHN CIPOT IV D.O.
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 684-7598
MR. JOSE LUIS CRUZ PA-C
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nassau County (516) 562-3683
SARAH BETH KORNHABER C.R.N.A.
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nassau County (516) 562-4887
YUSON CHONG NP
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-2252
THERESA MARY MOUZAKITIS PA
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 662-5100

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 Jacob Rotter's NPI number?

The NPI number for Jacob Rotter is 1720547821. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Jacob Rotter located?

Jacob Rotter practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Jacob Rotter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Rotter enrolled in Medicare?

Yes. Jacob Rotter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Rotter was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.