DR. ETHAN SAMUEL ROFMAN (NPI# 1306896527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306896527 |
| Entity Type | Individual |
| Full Name | DR. ETHAN SAMUEL ROFMAN |
| Credential | M.D. |
| Practice Address |
123 Grant Ave Newton Centre MA 02459-1350 |
| Practice Telephone | 7816872405 |
| Practice Fax Number | 7816872428 |
| Mailing Telephone | 7816872405 |
| Mailing Fax Number | 7816872428 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
29678 | MA | Allopathic & Osteopathic Physicians |
| X | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
29678 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
123 GRANT AVE |
| City | NEWTON CENTRE |
| State | MA |
| Zip Code | 02459-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
| 1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
| 1548454671 | Alfredo R Chan Md PC | Psychiatry & Neurology | 105 Webster St Ste 6, Hanover, MA 02339-1227 | 2007-08-31 |
| 1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
| 1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
| 1821565425 | Westborough Professional Associates, LLC | Psychiatry & Neurology | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2018-11-01 |
| Find all providers with the same taxonomy | ||||
| City | NEWTON CENTRE |
| Zip Code | 02459 |
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| 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.