Individual provider Active NPI

Gil Roter, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1073621231
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
164190 Issued in NY
Practice address
5 Penn PLZ FL 23
New York, NY 10001-1810
Phone
(551) 295-8223
NPI assigned
Aug 28, 2006
Last updated
Sep 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 164190 NY Primary

Addresses

Primary practice location

5 Penn PLZ FL 23
New York, NY 10001-1810

Mailing address

2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223

Other practice location 1

29399 US Highway 19 N Ste 150
Clearwater, FL 33761-2126
Phone (551) 295-8223

Other practice location 2

7001 Avenue U
Brooklyn, NY 11234-6117
Phone (718) 531-3703

Other identifiers 1

IdentifierTypeStateIssuer
01059452MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040402000026 NY Practitioner - Internal Medicine 1153313762 Reassigns benefits to 4 organizations
I20260108001779 FL Practitioner - Internal Medicine 1153313762 Reassigns benefits to 3 organizations
I20260602004166 PA Practitioner - Internal Medicine 1153313762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

29399 US Hwy 19 N
Suite 150
Clearwater, FL 33761-2191
Phone (551) 295-8223

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Housecalls Medicine Ny West PC CurrentSince Nov 12, 2025 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Nov 22, 2021 Accepting new patients
New York University Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Housecalls Medicine Ny East PC CurrentSince Nov 12, 2025 Accepting new patients
George M.Jager, M.D., Gil Roter, M.D., Scott M. Andes, D.O., LLP Internal Medicine PastSince Jan 1, 2007 Accepting new patients
Wellwood Medical PC Internal Medicine Past Accepting new patients
Regional Physician Services, PC Internal Medicine PastSince Mar 10, 2009 Accepting new patients
Samuel Lupin MD PC PastSince Nov 1, 2009 Accepting new patients

Locations

29399 US Highway 19 N
Ste 150
Clearwater, FL 33761
Phone (727) 258-3743

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1073621231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "551-295-8223",
            "fax_number": "718-531-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PENN PLZ FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011810",
            "telephone_number": "551-295-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29399 US Highway 19 N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612126",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Avenue U",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112346117",
            "country_code": "US",
            "telephone_number": "718-531-3703",
            "fax_number": "718-531-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTER",
        "first_name": "GIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01059452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.