ANDREW ROTH (NPI# 1013055649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013055649 |
| Entity Type | Individual |
| Full Name | ANDREW ROTH |
| Credential | PH.D. |
| Practice Address |
55 Park St Montclair NJ 07042-3439 |
| Mailing Address |
24 Harrison Ct South Orange NJ 07079-2409 |
| Practice Telephone | 9733785641 |
| Practice Fax Number | 9737620045 |
| Mailing Telephone | 9733785641 |
| Mailing Fax Number | 9738213420 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00375000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184976466 | Andrew Charles Roth | Physical Therapy Assistant | 304b New Leicester Hwy, Asheville, NC 28806-2021 | 2012-10-10 |
| 1689037194 | Andrew Thomas Roth | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2016-04-01 |
| 1437436227 | Andrew Roth | Pharmacist | 6371 N Decatur Blvd, Las Vegas, NV 89130-8001 | 2011-11-08 |
| 1164705059 | Andrew Jeremiah Roth | Physical Therapist | 29017 Chardon Rd, Willoughby Hills, OH 44092-1475 | 2011-09-27 |
| 1346545340 | Andrew Roth | Audiologist-Hearing Aid Fitter | 109 Polar Plz, Amsterdam, NY 12010-1610 | 2011-01-21 |
| 1831291988 | Andrew Roth | Orthopaedic Surgery | 2080 Century Park E, Ste 1505, Los Angeles, CA 90067-2001 | 2006-09-01 |
| 1265548374 | Andrew G Roth | Anesthesiology | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2006-08-22 |
| 1427082015 | Andrew R. Roth | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2006-07-10 |
| 1972539872 | Andrew M. Roth | Orthopaedic Surgery | 8250 Kenwood Crossing Way, Suite 100, Cincinnati, OH 45236-3668 | 2006-06-23 |
| 1447216049 | Andrew H. Roth | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-04-22 |
| Street Address |
55 PARK ST |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679620926 | George J. Papasikos | Dentist | 55 Park St, Montclair, NJ 07042-3439 | 2007-01-05 |
| 1902235757 | Jacy Papasikos | Dentist | 55 Park St, Montclair, NJ 07042-3439 | 2013-11-02 |
| 1891123923 | Papasikos Orthodontics | Dentist | 55 Park St, Montclair, NJ 07042-3439 | 2013-10-29 |
| 1487987251 | Wendy Donnelly | Social Worker | 55 Park St, Montclair, NJ 07042-3439 | 2009-09-11 |
| 1174774343 | Arianna Leigh Papasikos | Dentist | 55 Park St, Montclair, NJ 07042-3439 | 2008-10-07 |
| 1417165580 | Sandra Antoinette Sinicropi | Social Worker | 55 Park St, Montclair, NJ 07042-3439 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306352356 | Leore J Faber | Psychologist | 51 Upper Montclair Plz Ste 2, Montclair, NJ 07043-1340 | 2017-12-28 |
| 1114396835 | Montclair Memory Clinic LLC | Psychologist | 70 Park Street, Suite 207, Montclair, NJ 07042-2960 | 2015-09-23 |
| 1699172338 | Arthur Lee Pressley Jr. | Psychologist | 50 Church Street, Montclair, NJ 07042 | 2014-11-24 |
| 1891102893 | Sam John Tsemberis | Psychologist | 27 Warren Pl, Montclair, NJ 07042-2528 | 2014-07-22 |
| 1790034072 | Allen Roth Educational and Psychological Services | Psychologist | 36 Park St, Montclair, NJ 07042-3440 | 2012-09-02 |
| 1073821351 | Blake Evan Kirschner | Psychologist | 299 Orange Rd, Floor 1, Montclair, NJ 07042-4420 | 2010-09-20 |
| 1245443563 | James G. Garofallou | Psychologist | 82 Midland Ave, Montclair, NJ 07042-2916 | 2007-05-07 |
| 1801008883 | Peggy Van Raalte | Psychologist | 19 Brunswick Rd, Montclair, NJ 07042-3027 | 2007-05-04 |
| 1528283785 | Frank James Trankina | Psychologist | 11144 Buckskin Ave, Montclair, CA 91763-6400 | 2007-04-14 |
| 1952442303 | Arnold Wilson | Psychologist | 144 Union St, Montclair, NJ 07042-2124 | 2007-02-09 |
| Find all providers in MONTCLAIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.