RANDI ROTHBAUM


Address: 111 East 210th St, Geriatrics Division, Bronx, NY 10467
Phone: 7189206234

RANDI ROTHBAUM (NPI# 1033485867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033485867
Entity Type Individual
Full Name RANDI ROTHBAUM
Practice Address 111 East 210th St
Geriatrics Division
Bronx
NY 10467
Practice Telephone 7189206234
Enumeration Date 2012-03-27
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
288459 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 10th Ave, New York, NY 100191147 2125234000

Office Location

Street Address 111 EAST 210TH ST
GERIATRICS DIVISION
City BRONX
State NY
Zip Code 10467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093039315 Juneme Song Pharmacist 111 East 210th St, Bronx, NY 10467 2010-03-15
1033779111 Jorge Humberto Rodriguez Quintero Student in an Organized Health Care Education/Training Program 111 East 210th St, Bronx, NY 10467 2019-06-19
1841697117 Sakina Nayaz Student in an Organized Health Care Education/Training Program 111 East 210th St, Foreman Pavillion 4th Floor, Bronx, NY 10467-2490 2014-12-02
1962828160 Sosamma George Pharmacist 111 East 210th St, Montefiore Hospital, Bronx, NY 10467-2490 2014-03-12
1144653361 Jennifer Velez Nurse Practitioner 111 East 210th St, Montefiore Medical Center, Bronx, NY 10467 2013-08-12
1245675974 Rose Nwafor Ogbonna Nurse Practitioner 111 East 210th St, Bronx, NY 10467 2013-05-08
1598083974 Lisa Joy Underland Pediatrics 111 East 210th St, Bronx, NY 10467 2010-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
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1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245462621 Sharad Kothari Internal Medicine 3979 Laconia Ave, Bronx, NY 10466-4916 2009-08-18
1124288170 Alina Gory Internal Medicine 664 Thwaites Pl Apt 2a, Bronx, NY 10467-7925 2008-06-12
1962684373 Alejandra Villalobos Internal Medicine 1 Fordham Plz Ste 1000, Bronx, NY 10458-5871 2007-11-28
1497955041 Bernard Stern Internal Medicine 3128 Palisade Ave, Bronx, NY 10463-1014 2007-07-23
1518019124 Carole Michelsen Internal Medicine 66 Van Cortlandt Park South, St. Patricks Home, Bronx, NY 10463 2007-01-17
1356429740 Riverdale Internal Medicine & Geriatric Services, PC Internal Medicine 5601 Riverdale Ave, Suite 1d, Bronx, NY 10471-2119 2006-11-01
1598851628 Anna Skokowska-lebelt Internal Medicine 4141 Carpenter Ave, Renal Unit, Bronx, NY 10466-2600 2006-10-05
1932206752 Hannah I Lipman Internal Medicine Mmc - Dept of Internal Med, 111 East 210th Street, Bronx, NY 10467 2006-09-20
1306888086 Jomarie Zeleznik Internal Medicine 3224 Grand Concourse, #ba, Bronx, NY 10458-1008 2006-06-10
1083667935 Srinivasa Reddy Adapa Internal Medicine 3950 White Plains Rd, Bronx, NY 10466-3026 2006-05-19
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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