NPIMap

Organization Active NPI

Neil S Roth MD PA

  • Orthopaedic Surgery Physician
  • Paramus, NJ
National Provider Identifier
1780240028
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEIL S ROTH MD PA
Practice address
37 W Century Rd Ste 101
Paramus, NJ 07652-1466
Phone
(212) 861-2300
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Neil S Roth, MDNPI 1689606998
Title
President (Owner)
Phone
(212) 861-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

37 W Century Rd Ste 101
Paramus, NJ 07652-1466

Mailing address

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

Other practice location 1

5600 Kennedy Blvd W Ste 106
West New York, NJ 07093-1256
Phone (212) 861-2300

Other identifiers 1

IdentifierTypeStateIssuer
XX-XXX4031OtherNJTIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WEB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520002875 NJ Part B Supplier - Clinic/Group Practice 7214368562 Receives reassigned benefits from 3 practitioners
Practice locations: Paramus, NJ; West New York, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1780240028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657471",
            "telephone_number": "212-861-2300",
            "fax_number": "212-861-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "212-861-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Kennedy Blvd W Ste 106",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070931256",
            "country_code": "US",
            "telephone_number": "212-861-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEIL S ROTH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT (OWNER)",
        "authorized_official_telephone_number": "212-861-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "XX-XXX4031",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WEB",
            "affiliation": "N",
            "address_1": "37 W Century Rd Ste 101",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076521466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.