Jeffrey Carlton Roeser, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

73651 Issued in CT

Practice address

1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335

Phone

(203) 453-9911

NPI assigned

Apr 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1023506763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-453-9911",
            "fax_number": "203-453-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD STE 100",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-453-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESER",
        "first_name": "JEFFREY",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "73651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila McGowan Robbins, LCSW
• Denise Lewis Roberts, LCSW
• Walter Roberts, PHD
• Stacy Alex Robinson, PA-C
• Ana Rodriguez-Musterer, PA
• Sarah Elizabeth Rogers, PT, DPT, ATC
• Ronald G Thomas MD LLC
• Jacob Tyler Rooney, DPT
• Jane Rosadini, OT
• Susann Roth, PTA

• Internal Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.