Steven S. Roth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00378500 Issued in NJ

Practice address

1107 Mantua Pike
Ste 722
Mantua, NJ 08051-1606

Phone

(856) 464-9000

Fax

(856) 464-1577

NPI assigned

May 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Steven S. Roth, West Deptford Eye Care

  • Optometrist
  • Mantua, NJ
  • NPI 1922202977
  NPD (past) Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477556421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MANTUA PIKE",
            "address_2": "STE 722",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511606",
            "telephone_number": "856-464-9000",
            "fax_number": "856-464-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MANTUA PIKE",
            "address_2": "STE 722",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511606",
            "telephone_number": "856-464-9000",
            "fax_number": "856-464-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEVEN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00378500",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00030000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2254417",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peach Assistance Program
• Daniel Petrille
• Phynai Therapy Group
• Glinario Ramos, RPH
• Stacey Rettew, LPC
• James Rotoli, PHARM.D.
• Amuliah Aslim Sirleaf, MSN, PMHNP-BC
• Christopher Stefensonwestergard, PT,DPT
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• Maryann J Thornton, R.D.

• Optometrist in Mantua, NJ
• Providers in Mantua, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.