Active NPI
Neil S Roth, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 195903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Duke University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Burke Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06997300 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emusc, LLC | Current | Accepting new patients | |
| Neil S Roth MD PA | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1780240028
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1992121750
-
- Ambulatory Surgical Clinic/Center
- Glendale, NY
- NPI 1265988182
-
- Specialist
- Pearl River, NY
- NPI 1407018633
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1285671727
-
- Durable Medical Equipment & Medical Supplies
- Tarrytown, NY
- NPI 1184022881
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.