Robert Lawrence Roth, MD

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

MA59133 Issued in NJ

Practice address

Sullivan Way
Ann Klein Forensic Center
West Trenton, NJ 08628

Phone

(609) 777-2925

Fax

(609) 984-0981

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992878581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CALABRIA LANE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-653-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SULLIVAN WAY",
            "address_2": "ANN KLEIN FORENSIC CENTER",
            "city": "WEST TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-777-2925",
            "fax_number": "609-984-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "MA59133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee A Phifer, BCABA
• Carol A Pletnick, MA, ATR-BC, LPC
• PPS of NJ LLC
• Bhagyam Chenna Reddy, M. D.
• Amir M Rizvi, MD
• Ronald Jason Saffar, DDS
• Nena T Sapp, PSYD
• Nancy Scott, LMFT, LPC, RN
• Serv Centers of New Jersey, Inc
• Suhas Shanbhag, MD

• Forensic Psychiatry Physician in West Trenton, NJ
• Providers in West Trenton, NJ by specialty
• Forensic Psychiatry Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.