Individual provider Active NPI

Eric S Roth, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jamaica, NY
National Provider Identifier
1083705180
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
184192 Issued in NY
Practice address
16405 Hillside Ave
Jamaica, NY 11432-4140
Phone
(718) 297-6090
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 184192 NY Primary

Addresses

Primary practice location

16405 Hillside Ave
Jamaica, NY 11432-4140

Mailing address

178 Ancon Ave
Pelham, NY 10803-2005

Other practice location 1

189 Route 100
Somers, NY 10589-2811
Phone (914) 232-5101

Other practice location 2

110 Oregon Rd
Cortlandt Manor, NY 10567-1232
Phone (914) 739-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000164 NY Practitioner - Physical Medicine and Rehabilitation 6406852201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York Downstate Medical Center, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Touch in-Home Medical Care P.C.Group PAC ID 3678056058, 3 clinicians
Doctors United, IncGroup PAC ID 1153212162, 25 clinicians

Practice addresses (Care Compare)

Pelham, NY 10803
Phone (516) 200-6937

907 E Tremont Ave
Bronx, NY 10460-4301
Phone (718) 589-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
184192NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Village Physical Medicine, PC CurrentSince Sep 1, 2020 Accepting new patients
Doctors United, Inc CurrentSince Aug 1, 2020 Accepting new patients
Caring Touch in-Home Medical Care P.C. CurrentSince Dec 29, 2025 Accepting new patients
Lula Medical, P.C. Pain Medicine CurrentSince Dec 31, 2025 Accepting new patients
R.G. Medical, PC PastSince Aug 1, 2020 Accepting new patients
Physicians Medical Rehabilitation Associates, PLLC Past Accepting new patients

Locations

1 Bridge St
Ardsley, NY 10502
Phone (914) 693-8782

907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Networks

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

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1083705180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ANCON AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-297-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Route 100",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105892811",
            "country_code": "US",
            "telephone_number": "914-232-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Oregon Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105671232",
            "country_code": "US",
            "telephone_number": "914-739-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "184192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.