Active NPI
Stephen Jason Roth, MD
- Neurology Physician
- Lynbrook, NY
National Provider Identifier
1801075239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 245801-1
- Practice address
- 360 Merrick Rd FL 1
Lynbrook, NY 11563-2526 - Phone
- (516) 887-3516
- Fax
- (516) 887-0031
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 245801-1 | NY | Primary |
Addresses
Primary practice location
360 Merrick Rd FL 1
Lynbrook, NY 11563-2526
Mailing address
360 Merrick Rd FL 1
Lynbrook, NY 11563-2526
Phone (516) 887-3516
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@linc.criterionsdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
777 Sunrise Hwy
Suite 200
Lynbrook, NY 11563-2950
Phone 5168873516108
Hospital & facility affiliations
- Mount Sinai South Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 74.36
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245801-1 | NY | MD | Neurology Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- Neurology Physician
- Lynbrook, NY
- NPI 1467438622
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1801075239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MERRICK RD FL 1",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632526",
"telephone_number": "516-887-3516",
"fax_number": "516-887-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MERRICK RD FL 1",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632526",
"telephone_number": "516-887-3516",
"fax_number": "516-887-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "STEPHEN",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "245801-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@linc.criterionsdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "360 Merrick Rd Fl 1",
"city": "Lynbrook",
"state": "NY",
"country_code": "US",
"postal_code": "115632526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.