Ronald Roth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1206341 Issued in NY

Practice address

100 Maple Avenue
Smithtown, NY 11787

Phone

(631) 265-7671

Fax

(631) 265-7692

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York Medical College, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smithtown Primary Medical Care, P.C.Group PAC ID 2163609579, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
• Gurwin Certified Home Health Agency Home health agency, Commack, NY, CCN 337413

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roth.ronald.003.0320112@spmc.meditab.direct-ci.com

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.

• Smithtown Primary Medical Care, P.C.

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1326243536
  Medicare reassignment Care Compare group NPD Authorized official
• Vytaliz Medical

  • Internal Medicine Physician
  • New City, NY
  • NPI 1568831105
  NPD

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

• Central Suffolk Hospital

  dba Peconic Bay Homehealth Services

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  dba Catholic Health Home Care

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

  • Skilled Nursing Facility
  • Commack, NY
  • NPI 1669472304

  Home health agency

  Care Compare affiliation
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

  dba Long Term Home Health Care Program

  • Home Health Agency
  • Commack, NY
  • NPI 1679863393
  Care Compare affiliation

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891870234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVENUE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-7671",
            "fax_number": "631-265-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVENUE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-7671",
            "fax_number": "631-265-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1206341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00822775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annmarie Rosina, PT
• Ross Optical Incorporated (21st Century Optical)
• Jamie Ann Ross, M.A., P.D., LMFT
• Elliott Rossein, M.D.
• Christina Roth
• Alex Rothfeld, M.D.
• Michele Rotkowitz, LMSW
• Stephanie Rotola, LMSW
• Roxanne G. Carfora DO PC (Carfora Family Medicine)
• Jermel Royal, LMSW

• Family Medicine Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Family Medicine Physician in New York

• 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.
• 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.

Verify at the official NPI Registry.