Steven J Roth, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000905 Issued in NY

Practice address

4 Eric Rd
Mullica Hill, NJ 08062-9547

Phone

(856) 223-9646

Fax

(856) 223-9646

NPI assigned

Dec 4, 2008

Last updated

Dec 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Physician Assistant

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1780829796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ERIC RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629547",
            "telephone_number": "856-223-9646",
            "fax_number": "856-223-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ERIC RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629547",
            "telephone_number": "856-223-9646",
            "fax_number": "856-223-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ringe, DO
• Marc Roch, PHARMD
• Isabela Rodriguez
• Valerie Rome, DO
• Mirette Emad Fakhoury Rophael, MBBCH
• Abhrarup Roy
• Jasmine Russell, DNP, CRNA
• Kara M Sacco, PHARMD
• Hamza Safi, MD
• Maria T Sagarino, PT, DPT, RAC

• Physician Assistant in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.