Individual provider Active NPI

John Joseph Roth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, NJ
National Provider Identifier
1871226027
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00388200 Issued in NJ
Practice address
2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone
(609) 896-0444
Fax
(609) 587-4349
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00388200 NJ
Podiatrist 213E00000X SC007296 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC007296 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00388200 NJ Primary

Addresses

Primary practice location

2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

1203 Langhorne Newtown Rd Ste 220
Langhorne, PA 19047-1209
Phone (215) 860-4274

Other practice location 2

2A Princess Rd Ste 200
Lawrenceville, NJ 08648-2302
Phone (609) 896-0444

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address John.Roth.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address John.Roth.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address John.Roth.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250624004150 PA Practitioner - Podiatry 8426560533 Reassigns benefits to 1 organization
I20250703000423 NJ Practitioner - Podiatry 8426560533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 220
Langhorne, PA 19047-1209
Phone (215) 860-4274

2501 Kuser Rd
Suite 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007296PAMDPodiatrist
25MD00388200NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC CurrentSince Jul 1, 2025 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Jul 1, 2025 Accepting new patients
Freeman Pain Institute PA Past Accepting new patients
Mercer County Surgery Center LLC Past Accepting new patients

Locations

2 Princess Rd
Ste 200
Lawrenceville, NJ 08648

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

Interoperability endpoints

  • Direct secure messaging: john.roth.1@21449.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1871226027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444",
            "fax_number": "609-587-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471209",
            "country_code": "US",
            "telephone_number": "215-860-4274",
            "fax_number": "215-860-4875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2A Princess Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086482302",
            "country_code": "US",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00388200",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007296",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007296",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00388200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Roth.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "2501 Kuser Rd Ste 3",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086913386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Roth.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "2A Princess Rd Ste 200",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Roth.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "1203 Langhorne Newtown Rd Ste 220",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.