DR. ERIC S ROTH (NPI# 1083705180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083705180 |
Entity Type | Individual |
Full Name | DR. ERIC S ROTH |
Credential | MD |
Practice Address |
16405 Hillside Ave Jamaica NY 11432-4140 |
Mailing Address |
178 Ancon Ave Pelham NY 10803-2005 |
Practice Telephone | 7182976090 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-02-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
184192 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
110 Oregon Rd, Cortlandt Manor, NY 105671232 | 9147398150 | |
189 Route 100, Somers, NY 105892811 | 9142325101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336639921 | Eric Stephen Roth | Student in an Organized Health Care Education/Training Program | Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-05-18 |
1982869657 | Eric Brandon Roth | Emergency Medicine | 1575 Beam Ave, Emergency Dept, Maplewood, MN 55109-1126 | 2008-07-22 |
1154585107 | Eric Vaughn Roth | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2008-07-17 |
1972720480 | Eric Roth | Speech-Language Pathologist | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2007-04-19 |
1700935608 | Eric Roth | Preventive Medicine | 1963 Memorial Pkwy Sw, Suite 24, Huntsville, AL 35801-5036 | 2007-01-09 |
1427060623 | Eric Roth | Physical Therapist | 911 Hildebrand Ln Ne Ste 101, Bainbridge Island, WA 98110-2825 | 2006-08-13 |
Street Address |
16405 HILLSIDE AVE |
City | JAMAICA |
State | NY |
Zip Code | 11432-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649640558 | Hillside Ophthalmology PC | Clinic/Center | 16405 Hillside Ave, 2nd Floor, Jamaica, NY 11432-4140 | 2015-10-05 |
1053646901 | Triborough Medical Associates Pllc | Family Medicine | 16405 Hillside Ave, Jamaica, NY 11432-4140 | 2009-10-09 |
1376774513 | Eastern Brooklyn Ipa LLC | Family Medicine | 16405 Hillside Ave, Jamaica, NY 11432-4140 | 2009-08-05 |
1063637361 | Camille Philippe Md, PC | Family Medicine | 16405 Hillside Ave, Jamaica, NY 11432-4140 | 2007-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659624336 | Spencer A Colden Md PC | Physical Medicine & Rehabilitation | 15011 Hillside Ave, Jamaica, NY 11432-3319 | 2012-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384535 | Mohammad Aalai Medical Pllc | Physical Medicine & Rehabilitation | 17 Richlee Ct Apt 1s, Mineola, NY 11501-3638 | 2020-10-22 |
1659923357 | Action Rehab Medicine Pllc | Physical Medicine & Rehabilitation | 88 Hamilton Dr, Roslyn, NY 11576-3129 | 2019-07-12 |
1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
1215454905 | Medical Alliance of New Jersey PC | Physical Medicine & Rehabilitation | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2017-08-24 |
1215382445 | Westchester Pain Management | Physical Medicine & Rehabilitation | 83 S Bedford Rd Ste 100, Mount Kisco, NY 10549-3459 | 2016-04-25 |
1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
1629494570 | Brian Pekkerman | Physical Medicine & Rehabilitation | 2 Ohio Dr Ste 102, New Hyde Park, NY 11042-1111 | 2014-03-14 |
1649604661 | V-medical PC | Physical Medicine & Rehabilitation | 1069 Hempstead Tpke, Suite 4, Franklin Sq, NY 11010-2631 | 2013-08-27 |
1760825210 | Stephen Erosa | Physical Medicine & Rehabilitation | 1088 North Broadway, Yonkers, NY 10701 | 2013-04-15 |
Find all providers with the same taxonomy |
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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.