Provider Demographics
NPI:1134148810
Name:ROCHMAN, ANDREW J (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:ROCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PEBBLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1353
Mailing Address - Country:US
Mailing Address - Phone:561-521-9937
Mailing Address - Fax:516-521-9937
Practice Address - Street 1:5 PEBBLE HILL DR
Practice Address - Street 2:SUITE 205
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1353
Practice Address - Country:US
Practice Address - Phone:516-521-9937
Practice Address - Fax:516-521-9937
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161970208600000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01040679Medicaid
NYA60155Medicare UPIN
NY01040679Medicaid