Jacob Ross Buckley Roach

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

124 E 108TH St
New York, NY 10029-3501

Phone

(929) 527-2824

NPI assigned

Aug 24, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1619883071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 72ND ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045347",
            "telephone_number": "203-997-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293501",
            "telephone_number": "929-527-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "JACOB",
        "middle_name": "ROSS BUCKLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Yehee Ro, DDS
• Vicky Ro
• Nadiwska Alexandra Roa Rojas, M.D.
• Tina Roa, MD
• Dominique Coleman Roach, CSAC-T
• Karin Roach
• Katherine Elizabeth Roach, MD, MED
• Keith Roach, MD
• Marie Theresa Roach, PT
• Roadrunner Transportation

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.