Active NPI
William I Roth MD PA
- Dermatology Physician
- Boynton Beach, FL
National Provider Identifier
1235309535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- WILLIAM I ROTH MD PA
- Practice address
- 10075 Jog Rd Ste 206
Boynton Beach, FL 33437-3536 - Phone
- (561) 731-4900
- Fax
- (561) 731-4419
- NPI assigned
- Mar 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William I Roth, M.D.
- Title
- President
- Phone
- (561) 731-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
10075 Jog Rd Ste 206
Boynton Beach, FL 33437-3536
Mailing address
10075 Jog Rd Ste 206
Boynton Beach, FL 33437-3536
Phone (561) 731-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1041401 | William I Roth MD PA | Compliance | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Boynton Beach, FL
- NPI 1801902846
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1235309535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 JOG RD STE 206",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373536",
"telephone_number": "561-731-4900",
"fax_number": "561-731-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 JOG RD STE 206",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373536",
"telephone_number": "561-731-4900",
"fax_number": "561-731-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM I ROTH MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-731-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.