Individual provider Active NPI

Doreen L Wray Roth, MD

  • Pediatric Anesthesiology Physician
  • Mt. Kisco, NY
National Provider Identifier
1790730208
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
172852 Issued in NY
Practice address
34 S Bedford Rd
The Ambulatory Surgery Center of Westchester
Mt. Kisco, NY 10549
Phone
(914) 244-6789
Fax
(914) 242-1516
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 172852 NY
Pediatric Anesthesiology Physician 207LP3000X 172852 NY Primary

Addresses

Primary practice location

34 S Bedford Rd
The Ambulatory Surgery Center of Westchester
Mt. Kisco, NY 10549

Mailing address

110 S Bedford Rd
The Ambulatory Surgery Center of Westchester
Mt. Kisco, NY 10549
Phone (914) 244-6789

Other names 1

  • Doreen L Wray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172852NYMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790730208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "THE AMBULATORY SURGERY CENTER OF WESTCHESTER",
            "city": "MT. KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-244-6789",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BEDFORD RD",
            "address_2": "THE AMBULATORY SURGERY CENTER OF WESTCHESTER",
            "city": "MT. KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-244-6789",
            "fax_number": "914-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY ROTH",
        "first_name": "DOREEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "172852",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "172852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "WRAY",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt. Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.