Individual provider Active NPI

Joseph Meyer Roth, M.D.

  • Gastroenterology Physician
  • Clifton, NJ
National Provider Identifier
1942238225
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA4776700 Issued in NJ
Practice address
925 Clifton Ave
Clifton, NJ 07013-2724
Phone
(973) 458-0408
Fax
(973) 405-6564
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA4776700 NJ Primary

Addresses

Primary practice location

925 Clifton Ave
Clifton, NJ 07013-2724

Mailing address

1130 McBride Ave FL 3
Woodland Park, NJ 07424-3806
Phone (973) 785-2277

Other practice location 1

925 Clifton Ave
Clifton, NJ 07013-2724
Phone (973) 458-0408

Other identifiers 1

IdentifierTypeStateIssuer
1475304MedicaidNJ

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120313000449 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 8820054091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

205 Browertown Rd
Woodland Park, NJ 07424-2610

301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590

71 Union Ave
Suite 201
Rutherford, NJ 07070-1272
Phone (201) 842-0020

925 Clifton Ave
Clifton, NJ 07013-2724
Phone (973) 458-0408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.33 of 100Reported as individual
Quality
44.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA4776700NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients

Locations

925 Clifton Ave
Ste 101
Clifton, NJ 07013
Phone (973) 458-0408

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408

71 Union Ave
Rutherford, NJ 07070
Phone (201) 842-0020

71 Union Ave
Ste 201
Rutherford, NJ 07070
Phone (201) 842-0020

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA
  • Direct secure messaging: joseph.roth@ganj.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1942238225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE FL 3",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-785-2277",
            "fax_number": "973-785-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-458-0408",
            "fax_number": "973-405-6564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132724",
            "country_code": "US",
            "telephone_number": "973-458-0408",
            "fax_number": "973-405-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOSEPH",
        "middle_name": "MEYER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA4776700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.