Active NPI
Jason Roth, LCSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1033464052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1000 Ocean Pkwy Ste 5
Brooklyn, NY 11230 - Phone
- (646) 369-0681
- NPI assigned
- Jul 16, 2012
- Last updated
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0 | NY | Primary |
Addresses
Primary practice location
1000 Ocean Pkwy Ste 5
Brooklyn, NY 11230
Mailing address
1000 Ocean Pkwy Ste 5
Brooklyn, NY 11230-3425
Phone (646) 369-0681
Other practice location 1
337 N Main St Ste 5
New City, NY 10956-4318
Phone (646) 369-0681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality BHS Florida, LLC | Current | Accepting new patients | |
| Quality BHS LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quality Behavioral Health Services
- Clinical Social Worker
- Tampa, FL
- NPI 1689297541
-
- Clinical Social Worker
- Gaithersburg, MD
- NPI 1457970048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1033464052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OCEAN PKWY STE 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303425",
"telephone_number": "646-369-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OCEAN PKWY STE 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "646-369-0681"
}
],
"practiceLocations": [
{
"address_1": "337 N Main St Ste 5",
"address_purpose": "LOCATION",
"city": "New City",
"state": "NY",
"postal_code": "109564318",
"country_code": "US",
"telephone_number": "646-369-0681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "JASON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.