Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Rotman, MD

Individual provider Urology Physician · NPI 1649284100

Michael Rotman, MD is an Urology in Lawrence, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1997, 29 years ago. Practices with St John's Medical Services PC, a 86-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

290 Central Ave Ste 107
Lawrence, NY 11559
Phone: (516) 239-8877
Fax: (516) 239-1104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 210711 (NY)

Record details

NPI number1649284100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESSeptember 17, 2007
Mailing address290 Central Ave, Suite 107, Lawrence, NY 11559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1997 (29 years in practice)
Group practice St John'S Medical Services Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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