NPIMap

Individual provider Active NPI

Steven David Roth, M.D.

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1679578785
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
150495 Issued in NY
Practice address
21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone
(914) 997-5720
Fax
(914) 682-5494
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 150495 NY Primary

Addresses

Primary practice location

21 Bloomingdale Rd
White Plains, NY 10605-1504

Mailing address

24 Park Rd
Scarsdale, NY 10583-2142
Phone (914) 997-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000346 NY Practitioner - Psychiatry 2062588734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, shared by 46 NPIs, 2,023 clinicians

Practice addresses (Care Compare)

21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone (914) 997-5791

525 E 68TH St
New York, NY 10065-4870
Phone (914) 682-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital CurrentSince Jul 1, 2008 Accepting new patients
Weill Medical College of Cornell Psychiatry Current Accepting new patients
The New York and Presbyterian Hosp CurrentSince Jul 1, 2008 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 1, 2008 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
Weill Medical College of Cornell University CurrentSince Jan 1, 2008 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

Weill Cornell Phys Psych D
New York, NY 10087

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sdr2003@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1679578785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832142",
            "telephone_number": "914-997-5720",
            "fax_number": "914-682-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "914-997-5720",
            "fax_number": "914-682-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "150495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.