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PAUL MITCHELL ROTHENBERG MD
NPI 1912240227
Orthopaedic Surgery in Hackensack, NJ

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
146 N STATE RT 17 STE 2, HACKENSACK, NJ 07601(732) 906-9600(833) 974-2196 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2019, Apr 26, 2019 (2 updates tracked since 2019).

About Paul Mitchell Rothenberg Md NPPES

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

PAUL MITCHELL ROTHENBERG MD (NPI 1912240227) is an individual orthopaedic surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA10513900) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Hudson Regional Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1912240227
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL MITCHELL ROTHENBERGCredential: MD
Location Address146 N STATE RT 17 STE 2Hackensack, NJ 07601-1071
Mailing Address90 Matawan Rd Ste 302Matawan, NJ 07747-2653 · (732) 441-7177 · Fax (732) 441-7165
Phone(732) 906-9600
Fax(833) 974-2196
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1912240227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NJ · 25MA10513900✔ Licensed in NY · 293480-01
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
146 N STATE RT 17 STE 2, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Locations 6

Location 138 Meadowlands PkwySecaucus, NJ 07094-2925 · Phone (551) 205-8081
Location 2855 Valley Rd Ste 200Clifton, NJ 07013-2441 · Phone (551) 999-7050 · Fax (833) 428-0623
Location 3935 River Rd Ste 100Edgewater, NJ 07020-2233 · Phone (551) 999-7050 · Fax (833) 428-0623
Location 419 E 27th StBayonne, NJ 07002-4608 · Phone (551) 999-7050 · Fax (833) 428-0623
Location 53540 John F Kennedy BlvdJersey City, NJ 07307-3450 · Phone (732) 906-9600 · Fax (833) 449-3389
Location 611 Ridge RdNorth Arlington, NJ 07031-6306 · Phone (551) 999-7050 · Fax (833) 428-0623

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

Paul Mitchell Rothenberg 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 ID345573457
PECOS Enrollment IDI20190605000079
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

2

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

Premier Brain And Spine, LLC
17 mi
Neurological Surgery
2500 MORRIS AVE STE 220
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 107 clinicians in this Medicare group
NPI 1922771377 (738) 906-9600
Optum Medical Care Of New Jersey PC
21 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
468 services41 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.
73 services51 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.
71 services55 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
56 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310118
Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 6

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

FILIPE FEITEIRO PA
Physician Assistant (Surgical)
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (732) 906-9600
MR. RAFFAELE CHARLES SIMONE PA-C
Physician Assistant (Surgical)
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (732) 906-9600
PREMIER BRAIN AND SPINE LLC
Durable Medical Equipment & Medical Supplies
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (732) 906-9600
DR. HARSHPAL SINGH MD
Neurological Surgery
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (732) 906-9600
MR. KYLE JAMES VIOLA PA
Physician Assistant
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (551) 999-7050
LUIS C GRAU MD
Orthopaedic Surgery
146 N STATE RT 17 STE 2
HACKENSACK, NJ 07601
Bergen County (732) 906-9600

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 Paul Rothenberg's NPI number?

The NPI number for Paul Rothenberg is 1912240227. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Paul Rothenberg located?

Paul Rothenberg practices at 146 N State Rt 17 Ste 2, Hackensack, NJ 07601. The listed phone number is (732) 906-9600.

What is Paul Rothenberg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Rothenberg enrolled in Medicare?

Yes. Paul Rothenberg 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 Paul Rothenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Rothenberg reassigns Medicare benefits to 2 organizations: Premier Brain And Spine, LLC (Union, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, 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 Paul Rothenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Rothenberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Paul Rothenberg 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.

Is Paul Rothenberg affiliated with any hospitals?

According to CMS data, Paul Rothenberg is affiliated with Hudson Regional Hospital.

When was this NPI record last updated?

The NPPES record for Paul Rothenberg was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.