DEBORAH ROTHENBERG – Surgical Physician Assistant, NPI 1104219955

DEBORAH ROTHENBERG is a healthcare provider. based in Jersey city, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 25MP00362000 (NJ). The NPI Number for DEBORAH ROTHENBERG is 1104219955

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH ROTHENBERG
NPI
1104219955
Phone
(201) 716-5850
Address
377 JERSEY AVE STE 280A
Enumeration Date
17 March 2015
Last Update Date
6 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2017165850
Graduation Year
2014 (12 years ago)
PAC ID
2163732447
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20181119002165
Address ID
NJ073024393JE377XXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,576 PHYSICIAN ASSISTANT in NJ

Provider Addresses for DEBORAH ROTHENBERG

  • 377 JERSEY AVE STE 280A

    JERSEY CITY, NJ 073024691

    Phone: (201) 716-5850

    Fax: (201) 915-2424

    Type: Mailing

  • 2121 MORRIS AVE

    UNION, NJ 07083

    Phone: (908) 687-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: MEDACTA USA, INC. ($53).

Total Amount

$172

General + Research + Ownership

Payments

5

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181119002165IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9274$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
20610Aspiration and/or injection of fluid from large joint1514$0
View full utilization report →

Insurance plans in this area (ZIP 07302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What is the standard ID for DEBORAH ROTHENBERG in the U.S.?
In the U.S., DEBORAH ROTHENBERG is identified by NPI 1104219955.
Quick check: is DEBORAH ROTHENBERG active?
Public NPPES data shows DEBORAH ROTHENBERG with an active NPI status right now.
How should patients interpret DEBORAH ROTHENBERG's specialty?
The extract shows Surgical Physician Assistant for DEBORAH ROTHENBERG. Clinical services aligned with this taxonomy classification.
What city is tied to DEBORAH ROTHENBERG?
The directory associates DEBORAH ROTHENBERG with Jersey City, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for DEBORAH ROTHENBERG?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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