IndividualActive
Carly Rothman, DO
NPI 1689101149 · Pediatric Rehabilitation Medicine Physician · Hackensack, NJ
Provider details
- NPI number
- 1689101149
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 25MB11914800 (NJ)
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.