Neil S Roth MD P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

195903-1 Issued in NY

Legal business name

NEIL S ROTH MD P C

Doing business as

New York Sports Medicine Institute

Practice address

210 E 64TH St
4TH Floor
New York, NY 10065-7471

Phone

(212) 861-2300

Fax

(212) 861-2442

NPI assigned

Mar 17, 2014

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Neil S Roth, M.D.NPI 1689606998

Title

Owner

Phone

(212) 861-2300

Specialties & licenses 2

Addresses

Other names 1

• New York Sports Medicine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neil S Roth, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1689606998
  Medicare reassignment Care Compare group Authorized official
• Wendy Lynn Bendersky, P.A.

  • Physician Assistant
  • New York, NY
  • NPI 1194946772
  Medicare reassignment Care Compare group
• Nicholas Pallis, PA

  • Physician Assistant
  • New York, NY
  • NPI 1437989274
  Medicare reassignment Care Compare group
• Nicholas Richard Delaney, M.D.

  • Orthopaedic Surgery Physician
  • Albany, NY
  • NPI 1558596114
  Medicare reassignment
• Marie Ann Serina, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • New Rochelle, NY
  • NPI 1265611339
  Medicare reassignment

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1992121750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657471",
            "telephone_number": "212-861-2300",
            "fax_number": "212-861-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657471",
            "telephone_number": "212-861-2300",
            "fax_number": "212-861-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL S ROTH MD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-861-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "241830",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "195903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Sports Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New York Sports Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neighborhood Physical & Occupational Therapy
• Neighborhood Psychiatric Associates of Manhattan PLLC (Sol Mental Health)
• Rebecca E Neihaus
• Neil Chadha Medical Anesthesia PLLC
• Neil R. Gross, DDS, PC
• Neil S. Rosenthal, M.D., P.C.
• Neil Zwiebel DPM PLLC (Park East Podiatry)
• Patricia Patricia Neil, DDS
• Neilaarshi Healthcare LLC (Andy Pharmacy)
• Amanda Neilan, MS, RN, CPNP

• Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.