Benjamin B Roa, PHD

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

License

ROAXB1 Issued in NY

Practice address

322 N 2200 W
Salt Lake City, UT 84116-2922

Phone

(801) 584-3600

NPI assigned

Jul 12, 2021

Last updated

Aug 19, 2025By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1679145528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N 2200 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162922",
            "telephone_number": "801-584-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N 2200 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162922",
            "telephone_number": "801-584-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "NY",
            "license": "ROAXB1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Traczewitz Roach, D.M.D.
• Kenneth David Roach, LCMHC
• Megan K Roach
• Tiffany Roach
• Jason Thomas Daniel Robb

• Clinical Molecular Genetics Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Molecular Genetics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.