Robert Lawrence Roth, MD
Individual provider Active NPI Forensic Psychiatry Physician · West Trenton, NJ
NPI 1992878581 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992878581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Forensic Psychiatry Physician 2084F0202X
- License
- MA59133 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA59133 | NJ | MD | Forensic Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MA59133 | NJ | Yes |
Addresses
Primary practice location
Sullivan Way
Ann Klein Forensic Center
West Trenton, NJ 08628
Mailing address
745 Calabria Lane
Ambler, PA 19002
Phone (215) 653-0289
Other providers in West Trenton, NJ
- Renee A Phifer
- Carol A Pletnick
- PPS of NJ LLC
- Bhagyam Chenna Reddy
- Amir M Rizvi
- Ronald Jason Saffar
- Nena T Sapp
- Nancy Scott
- Serv Centers of New Jersey, Inc
- Suhas Shanbhag
All providers in West Trenton, NJ · Forensic Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.