Alexander Roth (NPI# 1215310925, PAC ID# 8921352097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215310925 |
| PAC ID by PECOS | 8921352097 |
| Professional Enrollment ID | I20181109000128 |
| Full Name | Alexander Roth |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Address |
2200 Northern Blvd Suite 133 Greenvale NY 11548-1226 |
| Phone Number | 5163528100 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5496647208 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330182 | ST FRANCIS HOSPITAL - THE HEART CENTER |
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 | 5163528100 | ADVANCED INTERNAL MEDICINE GROUP PC |
| 703 Main St, Paterson, NJ 07503-2621 | 9737542000 | HOSPITALIST MEDICINE PHYSICIANS OF NEW JERSEY - PATERSON, PC |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn G Kolonic | Family Practice | Advanced Internal Medicine Group PC | 18603 Willamette Dr, West Linn, OR 97068-1705 |
| Jill E Miller | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Thomas G Gragnola | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Catheryne Leon | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Filippa Petruccelli | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Leon E Schwechter | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Erin K Morrissey | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Jennifer M. Oneill | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Javier Morales | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Malcolm L Mcaninch | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Street Address |
2200 NORTHERN BLVD SUITE 133 |
| City | GREENVALE |
| State | NY |
| Zip | 11548-1226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan M Bulbin | Infectious Disease | North Shore Infectious Diseases Consultants, PC | 2200 Northern Blvd, Suite 205, Greenvale, NY 11548-1219 |
| Sandy Nissel-horowitz | Physician Assistant | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Punam Prabhakar | Neurology | 2200 Northern Blvd, Suite 128, Greenvale, NY 11548-1221 | |
| Rosann Gregory | Physician Assistant | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Constantine G Fisher | Gastroenterology | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Tara L Zickerman | Physician Assistant | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Roberta Palmeri | Nurse Practitioner | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Avni Thakore | Cardiovascular Disease (cardiology) | Chs Physician Partners PC | 2200 Northern Blvd, Suite 112, Greenvale, NY 11548-1220 |
| Wallace P Chan | Hematology/oncology | Chs Physician Partners PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Catheryne Leon | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth T Cohen | Chiropractic | 100 Glen Cove Rd, Greenvale, NY 11548-1036 | |
| Robert C Lin | Anesthesiology | 71 Glen Cove Rd A, Greenvale, NY 11548-1056 | |
| Irene Lin | Anesthesiology | 71 Glen Cove Rd, Greenvale, NY 11548-1056 | |
| Elizabeth Albrecht | Psychologist, Clinical | 53 Glen Cove Rd, Suite 1, Greenvale, NY 11548-1058 | |
| Cecilia W Bell | Clinical Social Worker | 53 Glen Cove Rd, Suite 1, Greenvale, NY 11548-1058 | |
| Kumar Sukhdeo | Dermatology | Stacey F. Brisman Md PC | 50 Glen Cove Rd, Greenvale, NY 11548-1062 |
| Stacey F Brisman | Dermatology | Stacey F. Brisman Md PC | 50 Glen Cove Rd, Greenvale, NY 11548-1062 |
| Aneta Wojtowicz | Physical Therapy | Professional Orthopedic and Sports Physical Therapy PC | 90 Northern Blvd, Equinox Fitness Club, Greenvale, NY 11548-1207 |
| Nicole Olofson | Physical Therapy | Professional Orthopedic and Sports Physical Therapy PC | 90 Northern Blvd, Equinox Fitness Club, Greenvale, NY 11548-1207 |
| Abigaile A Cabalfin | Physical Therapy | Professional Orthopedic and Sports Physical Therapy PC | 90 Northern Blvd, Equinox Fitness Club, Greenvale, NY 11548-1207 |
| Find all physicians in zip 11548 | |||
| City | GREENVALE |
| Zip Code | 11548 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GREENVALE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Alexander Roth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.