Individual provider Active NPI

James M Roth II, MPH, FNP

  • Family Nurse Practitioner
  • Latham, NY
National Provider Identifier
1053967992
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344750 Issued in NY
Practice address
7B Johnson Rd
Latham, NY 12110-3003
Phone
(518) 782-7733
Fax
(518) 782-0800
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344750 NY Primary

Addresses

Primary practice location

7B Johnson Rd
Latham, NY 12110-3003

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Albany Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220412002306 NY Practitioner - Pediatric Medicine 7214323617 Reassigns benefits to 1 organization
I20240614001170 NY Practitioner - Nurse Practitioner 7214323617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

109 Genesee St
Oneida, NY 13421-2703
Phone (315) 231-5530

1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986

1694 Route 9
Halfmoon, NY 12065-8816
Phone (518) 930-7486

1708 Altamount Ave
Schenectady, NY 12303-2137
Phone (518) 344-4778

202 Broad St
Glens Falls, NY 12801-4146
Phone (518) 480-6240

204 S Broadway
Saratoga Springs, NY 12866-4570
Phone (518) 226-3288

233 Saratoga Rd
Glenville, NY 12302-4508
Phone (518) 930-7497

332 S Kingsboro Ave
Gloversville, NY 12078-4612
Phone (518) 752-3221

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

5001 State Hwy 23
Oneonta, NY 13820-4508
Phone (607) 376-5346

573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345

721 E Main St
Cobleskill, NY 12043-3801
Phone (518) 657-3639

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344750NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jan 5, 2022 Accepting new patients
Wellnow Urgent Care, PC CurrentSince May 20, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 5, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 5, 2022 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

43 New Scotland Ave
#73
Albany, NY 12208
Phone (518) 262-3480

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

1956 Ridge Rd
West Seneca, NY 14224
Phone (716) 608-0041

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1053967992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7B JOHNSON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103003",
            "telephone_number": "518-782-7733",
            "fax_number": "518-782-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MPH, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Albany",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "43 New Scotland Ave # 73",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.