DR. ALEXANDER ROTENBERG


Address: 300 Longwood Ave, Fegan 9, Boston, MA 02115-5724
Phone: 6173557970

DR. ALEXANDER ROTENBERG (NPI# 1154348043) 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) 1154348043
Entity Type Individual
Full Name DR. ALEXANDER ROTENBERG
Credential MD
Practice Address 300 Longwood Ave
Fegan 9
Boston
MA 02115-5724
Practice Telephone 6173557970
Practice Fax Number 6177300463
Mailing Telephone 6173557970
Mailing Fax Number 6177300463
Enumeration Date 2006-07-16
Last Update Date 2007-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
224639 MA Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
224639 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 2117274 05

Office Location

Street Address 300 LONGWOOD AVE
FEGAN 9
City BOSTON
State MA
Zip Code 02115-5724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588667539 Barry Grant Zallen Pediatrics 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 2005-05-23
1730780669 Hannah Fraser Registered Nurse 300 Longwood Ave, Boston, MA 02115-5724 2020-11-06
1164023776 Hannah Brewer Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-11-02
1104423680 Justin Matthias Hintze Otolaryngology 300 Longwood Ave, Boston, MA 02115-5724 2020-10-07
1295340388 Kathryn Theresa Moffa Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1144835224 Abby Elizabeth Bandi Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1558976845 Hilary Segar Garber Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-13
1063026003 Lauren M Dilullo Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-08
1013521004 Carl Britto Student in an Organized Health Care Education/Training Program 300 Longwood Ave, Boston, MA 02115-5737 2020-09-07
1760096887 Rebecca Marie Leslie Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548508252 Adriana Mendez Sanchez Psychiatry & Neurology 771 Albany Street Boston Medical Center Child Neurology, Dowling 3 South Rm 3314, Boston, MA 02118 2013-01-30
1124082714 Rebeca N Alvareza-altalef Psychiatry & Neurology 750 Washington St # 330, Boston, MA 02111-1526 2006-04-12
1982670535 Elizabeth Anne Thiele Psychiatry & Neurology 55 Fruit St Yaw 6b, Pediatric Neurology, Boston, MA 02114 2006-02-24
1205480043 Lauren Sham Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2019-07-30
1386164101 Ashley Weng Psychiatry & Neurology 800 Washington St, Boston, MA 02111 2017-06-22
1891148854 Jose Ildefonso Rodriguez Moreno Psychiatry & Neurology 800 Washington St, Boston, MA 02111-1552 2016-07-14
1245680123 Sonali Sharma Psychiatry & Neurology 800 Washington St, Boston, MA 02111-1552 2016-06-21
1619361672 Agnieszka Kielian Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2015-03-26
1821406232 Ivan Sanchez Fernandez Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2014-07-29
1366860173 Joshua Tyler August Psychiatry & Neurology 1 Boston Medical Ctr Pl, Department of Pediatrics, Dowling 3 South, Boston, MA 02118-2908 2014-03-31
Find all providers in BOSTON

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City BOSTON
Zip Code 02115

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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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