Organization Active NPI

Abington Memorial Hospital

Doing business as Jerry M. Roth M.D. F.A.C.P.

  • Internal Medicine Physician
  • Southampton, PA
National Provider Identifier
1619127313
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
Jerry M. Roth M.D. F.A.C.P.
Practice address
501 Street Rd
Suite 101
Southampton, PA 18966-3746
Phone
(215) 357-5780
Fax
(215) 364-8983
NPI assigned
Sep 30, 2008
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ABINGTON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
John J Kelly, MD
Title
Chief of Staff
Phone
(215) 481-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

501 Street Rd
Suite 101
Southampton, PA 18966-3746

Mailing address

501 Street Rd
Suite 101
Southampton, PA 18966-3746
Phone (215) 357-5780

Other names 1

  • Jerry M. Roth M.D. F.A.C.P. Doing business as

National Provider Directory

National Provider Directory
Part of
Abington Plaza Med Asso

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1619127313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "SUITE 101",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663746",
            "telephone_number": "215-357-5780",
            "fax_number": "215-364-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "SUITE 101",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663746",
            "telephone_number": "215-357-5780",
            "fax_number": "215-364-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABINGTON MEMORIAL HOSPITAL",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "215-481-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry M. Roth M.D. F.A.C.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.