Maryelizabeth Anne Roth, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME118033 Issued in FL

Practice address

2623 S Seacrest Blvd
Suite 65
Boynton Beach, FL 33435-7501

Phone

(561) 806-6835

NPI assigned

Oct 19, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1194807206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD",
            "address_2": "SUTE 65",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357501",
            "telephone_number": "561-806-6835",
            "fax_number": "561-806-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD",
            "address_2": "SUITE 65",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357501",
            "telephone_number": "561-806-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MARYELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD013615E",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME118033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtnie Ross, N/A
• Donna M Ross, LCSW
• Michael David Ross, M.D.
• Reagan Lindsay Ross, MD
• Rostislav Ignatov, M.D., P.a.
• Mitchell Roth, M.S, J.D., PSYD
• William I Roth, M.D.
• David J Rothfeld, M.D,
• Nicole Alyson Rothman, DC
• Monica Deshaun Roundtree Cleckley, DNP, APRN-BC, NP-C

• Geriatric Medicine (Family Medicine) Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.