Active NPI
Jennifer Lobban Roth
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 390200000X.
- Practice address
- 3450 Wayne Ave
Apt 13H
Bronx, NY 10467-2510 - Phone
- (305) 979-8001
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 390200000X. | NY | Primary |
Addresses
Primary practice location
3450 Wayne Ave
Apt 13H
Bronx, NY 10467-2510
Mailing address
3450 Wayne Ave
Apt 13H
Bronx, NY 10467-2510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162
16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162
4002 FM 762 Rd
Suite 100
Rosenberg, TX 77469-5558
Phone (281) 783-8162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X. | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level MV LLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients |
Locations
7710 Garth Rd
Ste A
Baytown, TX 77521
6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182
1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304
5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557
4435 Kingwood Dr
Kingwood, TX 77339
Phone (281) 360-7711
101 Winding Way St
Ste A
Lake Jackson, TX 77566
8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162
4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469
5211 FM 2920 Rd
Ste 101
Spring, TX 77388
16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1013432285
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
dba Next Level Urgent Care-League City
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1174805725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE",
"address_2": "APT 13H",
"city": "BRONX",
"state": "NY",
"postal_code": "104672510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE",
"address_2": "APT 13H",
"city": "BRONX",
"state": "NY",
"postal_code": "104672510",
"telephone_number": "305-979-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "JENNIFER",
"middle_name": "LOBBAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "390200000X.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.