Jennifer Roller, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

229568 Issued in NY

Practice address

2625 Harlem Rd
Suite 210
Cheektowaga, NY 14225-4031

Phone

(716) 893-7337

Fax

(716) 893-7699

NPI assigned

Jul 1, 2006

Sex

Female

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jenniferroller@cap.allscriptsdirect.net

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.

• Anthony T. Vetrano M.D.

  • Pediatrics Physician
  • Cheektowaga, NY
  • NPI 1508890393
  NPD (past)
• Baker Victory Healthcare Center

  • Pediatrics Physician
  • Lackawanna, NY
  • NPI 1538082821
  NPD (past)
• Century Airport Pediatrics P.C.

  • Pediatrics Physician
  • Cheektowaga, NY
  • NPI 1073542270
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1912936121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 210",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-7337",
            "fax_number": "716-893-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 210",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-7337",
            "fax_number": "716-893-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "229568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "145776DL",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000527405001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1211730",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026491301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050602000020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Rogers, LMHC
• Nidhika Rohatgi, PHARMD
• Carol Rojek, RN
• Elizabeth May Rokitka, D.C.
• Noreen Roliczek
• Mary Roller, LPN
• Mary Roma, LPN
• Kaitlin Roman
• Brianna Roose, LCSW
• Lucy Rosario, RN

• Pediatrics Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.