MICHAEL ROTH (NPI# 1760927313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760927313 |
| Entity Type | Individual |
| Full Name | MICHAEL ROTH |
| Practice Address |
8268 164th St Suite 1b-02 Jamaica NY 11432-1121 |
| Practice Telephone | 7188833070 |
| Practice Fax Number | 7188836115 |
| Mailing Telephone | 7188833070 |
| Mailing Fax Number | 7188836115 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390220 | Michael Stewart Roth | Obstetrics & Gynecology | 2115 Ne 197th Ter, Miami, FL 33179-3127 | 2012-10-03 |
| 1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
| 1093979262 | Michael Scott Roth | Chiropractor | 27 W Columbia St, Hempstead, NY 11550-2410 | 2008-07-16 |
| 1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
| 1124225024 | Michael Donald Roth | Registered Nurse | 11133 Oliver Rd, Mc Kean, PA 16426-2236 | 2007-07-02 |
| 1740405687 | Michael D Roth | Dentist | 403 Washington Lane, Jenkintown, PA 19046 | 2007-04-16 |
| 1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
| 1912954827 | Michael Stuart Roth | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-05-27 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| 1811423957 | Michael Roth | Internal Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2017-05-10 |
| Street Address |
8268 164TH ST SUITE 1B-02 |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921814 | Richard Arena | Pharmacist | 8268 164th St, Jamaica, NY 11432-1140 | 2005-06-09 |
| 1598366379 | Yasir Ahmed | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-11-06 |
| 1881294551 | Toor P Noori | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-10-30 |
| 1588264592 | Joshua Beckhusen | Pharmacist | 8268 164th St, Jamaica, NY 11432-1104 | 2020-10-28 |
| 1235744376 | Tanvir Rahman | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2020-09-15 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1295346179 | Amanpreet Kaur | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-08-13 |
| 1093325490 | Jodiane Ashpole | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-31 |
| 1497372551 | Jinjin Lin | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-06 |
| 1245856269 | Kiranjot Kaur | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2020-06-25 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902445034 | Allison Lawson | Physician Assistant | 11418 170th St, Jamaica, NY 11434-1317 | 2020-01-06 |
| 1275172447 | Showaib Hasan Kamal | Physician Assistant | 8280 167th St, Jamaica, NY 11432-1823 | 2020-01-05 |
| 1801435078 | Imran A Kassim | Physician Assistant | 9049 179th Pl Fl 2, Jamaica, NY 11432-5610 | 2020-01-05 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1558818088 | Leah Rubin | Physician Assistant | 82-68 164 St #1b-02, Jamaica, NY 11432 | 2016-09-01 |
| 1780058750 | Ruhee Gadhia | Physician Assistant | Metro Urgent Medical Care Queens, Jfk International Airport Bldg No. 125, Jamaica, NY 11430 | 2015-11-13 |
| 1679944151 | Mary Regan | Physician Assistant | Building 125 Jfk Airport, Jamaica, NY 11430 | 2015-10-09 |
| 1114335312 | Maha Komal | Physician Assistant | Jfk International Airport Bldg 14, West Wing Suite 14a, Jamaica, NY 11430 | 2014-07-31 |
| 1689010233 | Carlotta Ross-distin | Physician Assistant | 13329 Dennis St, Jamaica, NY 11434-4112 | 2013-05-21 |
| 1669718573 | Kerrod Dwayne Mcneal | Physician Assistant | 11106 145th St, Jamaica, NY 11435-5819 | 2012-12-20 |
| Find all providers in JAMAICA | ||||
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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.