John D Roth Jr.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14361292 Issued in CT

Practice address

101 South St
West Hartford, CT 06110-1967

Phone

(860) 578-1300

NPI assigned

Aug 26, 2019

Last updated

Oct 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1184271025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CENTRAL AVE APT 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101967",
            "telephone_number": "860-578-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "14361292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Rosenstein, MD
• Alan Howard Rosenthal, RPH
• Helene (Dba Laney) Rosenzweig, LMFT
• Renata E Rossak
• Katie Lynn Rossini
• Shari Madelene Roth, M.D.
• Janice Ann Rothstein, MA
• Megan Rourke, PA-C
• Melinda Roussopoulos
• Noah Roy

• Speech-Language Pathologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.