Gloria Roetzer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

206060-1 Issued in NY

Practice address

2730 Union Road
Cheektowaga, NY 14227

Phone

(716) 332-7377

Fax

(716) 568-8228

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trinity Pediatrics LLC

  • Primary Care Clinic/Center
  • Orchard Park, NY
  • NPI 1467997262
  NPD (past) Authorized official
• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1023080645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNION ROAD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14227",
            "telephone_number": "716-332-7377",
            "fax_number": "888-452-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNION ROAD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14227",
            "telephone_number": "716-332-7377",
            "fax_number": "716-568-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETZER",
        "first_name": "GLORIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "206060",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "206060-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "206060-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01747066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayelin Rodher
• Morgan Elizabeth Jude Roehm, OD
• John M Roehmholdt, MD
• Max John Roehmholdt, MD
• Karen J. Roesser
• Cheryl A Rogers
• Delia Mae Rogers, LICENSEDPRATICALNURS
• Jeanette Poleon Rogers, LPN
• Rachel Lynn Rogers, LMHC
• Nidhika Rohatgi, PHARMD

• Pediatrics Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.