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ANDREW ROTH PH.D.
NPI 1013055649
Psychologist - Clinical in Montclair, NJ

Active since February 04, 2007PECOS EnrolledAccepts Medicare Assignment
55 PARK ST, MONTCLAIR, NJ 07042(973) 378-5641(973) 762-0045 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Roth Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW ROTH PH.D. (NPI 1013055649) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (35SI00375000) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013055649
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameANDREW ROTHCredential: PH.D.
Location Address55 PARK STMontclair, NJ 07042-3439
Mailing Address24 Harrison CtSouth Orange, NJ 07079-2409 · (973) 378-5641 · Fax (973) 821-3420
Phone(973) 378-5641
Fax(973) 762-0045
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 4, 2007
Last NPPES UpdateDecember 10, 2019
✔ NPI 1013055649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35SI00375000
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
55 PARK ST, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Roth Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618942574
PECOS Enrollment IDI20110808000249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARIANNA LEIGH PAPASIKOS D.M.D., M.B.A.
Dentist (Orthodontics and Dentofacial Orthopedics)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 744-2511
SANDRA ANTOINETTE SINICROPI LCSW
Social Worker (Clinical)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 655-8999
WENDY DONNELLY LCSW
Social Worker (Clinical)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 856-3073
GEORGE J. PAPASIKOS D.MD., F.A.G.D, P.A.
Dentist (Periodontics)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 783-2300
PAPASIKOS ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 744-2511
JACY PAPASIKOS D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
55 PARK ST
MONTCLAIR, NJ 07042
Essex County (908) 246-4960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Roth's NPI number?

The NPI number for Andrew Roth is 1013055649. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Andrew Roth located?

Andrew Roth practices at 55 Park St, Montclair, NJ 07042. The listed phone number is (973) 378-5641.

What is Andrew Roth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrew Roth enrolled in Medicare?

Yes. Andrew Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Roth was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.