Individual provider Active NPI

Neil S Roth, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
National Provider Identifier
1689606998
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
195903 Issued in NY
Practice address
130 E 77TH St
8TH Floor
New York, NY 10021-1851
Phone
(212) 861-2300
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA06997300 NJ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 195903 NY Primary

Addresses

Primary practice location

130 E 77TH St
8TH Floor
New York, NY 10021-1851

Mailing address

130 E 77TH St
8TH Floor
New York, NY 10021-1851
Phone (212) 861-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040520001656 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3779574488 Reassigns benefits to 2 organizations
I20040811000010 NJ Practitioner - Orthopedic Surgery 3779574488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Duke University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil S Roth MD P CGroup PAC ID 7113143744, 3 clinicians
Neil S Roth MD PAGroup PAC ID 7214368562, 3 clinicians

Practice addresses (Care Compare)

210 E 64TH St
FL 4
New York, NY 10065-7471
Phone (212) 861-2300

222 Westchester Ave
Suite 308
West Harrison, NY 10604-2925

37 W Century Rd
Suite 101
Paramus, NJ 07652-1466
Phone (201) 634-9000

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06997300NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Apr 5, 2018 Accepting new patients
Neil S Roth MD PA Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Orthopaedic Surgery Past Accepting new patients
Gramercy Medical Pain Management P.a. Past Accepting new patients
New York Orthopaedic Hospital Associates, PC Orthopaedic Surgery Past Accepting new patients

Locations

37 W Century Rd
Ste 101
Paramus, NJ 07652
Phone (201) 634-9000

37 W Century Rd
Paramus, NJ 07652
Phone (201) 262-0429

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

210 E 64th St
Fl 4
New York, NY 10065
Phone (212) 434-3365

Interoperability endpoints

  • Direct secure messaging: nroth67215@northwell.direct-ci.com

Organizations & group practices 6

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1689606998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-861-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-861-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "NEIL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA06997300",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "195903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.