Active NPI
Ellen Faye Roth, EDD
- Psychologist
- Florham Park, NJ
National Provider Identifier
1831214667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01883
- Practice address
- 38 Park St
Unit 9B
Florham Park, NJ 07932-1735 - Phone
- (973) 822-0251
- Fax
- (973) 822-0814
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01883 | NJ | Primary |
Addresses
Primary practice location
38 Park St
Unit 9B
Florham Park, NJ 07932-1735
Mailing address
38 Park St
Unit 9B
Florham Park, NJ 07932-1735
Phone (973) 822-0251
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01883 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831214667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 PARK ST",
"address_2": "UNIT 9B",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321735",
"telephone_number": "973-822-0251",
"fax_number": "973-822-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 PARK ST",
"address_2": "UNIT 9B",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321735",
"telephone_number": "973-822-0251",
"fax_number": "973-822-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "ELLEN",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "01883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.