Scott Lawrence Roth, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

172466 Issued in NY

Practice address

2 Crescent LN
Roslyn Heights, NY 11577-1528

Phone

(516) 805-3994

Fax

(866) 524-1562

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1508880592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESCENT LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771528",
            "telephone_number": "516-805-3994",
            "fax_number": "866-524-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRESCENT LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771528",
            "telephone_number": "516-805-3994",
            "fax_number": "866-524-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "SCOTT",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "172466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01395353",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roslyn Family Dental, P.C.
• Roslyn Heights Medical PC
• Roslyn Primary Care, PLLC
• Roslyn Public Schools
• Roslyn Public Schools
• Eleanor Rothschild, LCSW
• Debra B Rubin
• Joanne Gold Rubin, LCSW
• Elmira Mercedes Ruiz, MS
• Carl Ruoff, D.O.

• Cardiovascular Disease Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.