Individual provider Active NPI

Peter Roth, DC

  • Chiropractor
  • Glen Cove, NY
National Provider Identifier
1841228780
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X49231 Issued in NY
Practice address
189 Forest Ave Ste a
Glen Cove, NY 11542-2068
Phone
(516) 759-2032
Fax
(516) 759-2117
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X49231 NY Primary

Addresses

Primary practice location

189 Forest Ave Ste a
Glen Cove, NY 11542-2068

Mailing address

189 Forest Ave Ste a
Glen Cove, NY 11542-2068
Phone (516) 759-2032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000377 NY Practitioner - Chiropractic 9739182684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Medical Services PLLCGroup PAC ID 7214385111, 13 clinicians

Practice addresses (Care Compare)

160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 727-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X49231NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Services PLLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

189 Forest Ave
Ste A
Glen Cove, NY 11542
Phone (516) 759-2032

160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1841228780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 FOREST AVE STE A",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422068",
            "telephone_number": "516-759-2032",
            "fax_number": "516-759-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 FOREST AVE STE A",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422068",
            "telephone_number": "516-759-2032",
            "fax_number": "516-759-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X49231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.