DR. JEFFREY STEPHEN ROTH MD
NPI 1043203243
Dermatology in New York, NY

Active since August 24, 2005PECOS Enrolled
580 PARK AVE, NEW YORK, NY 10065(212) 752-3692(212) 838-5636 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Stephen Roth Md NPPES

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

DR. JEFFREY STEPHEN ROTH MD (NPI 1043203243) is an individual dermatology provider in New York, New York, licensed in New York (1828581) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043203243
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JEFFREY STEPHEN ROTHCredential: MD
Location Address580 PARK AVENew York, NY 10065-7313
Mailing Address580 Park AveNew York, NY 10065-7313 · (212) 752-3692 · Fax (212) 838-5636
Fax(212) 838-5636
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 3, 2012
NPI 1043203243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 1828581
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
580 PARK AVE, New York, NY 10065

Other Identifiers 2

Medicare UPINF24002
Medicare PINA400053831NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeffrey Stephen Roth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 5

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

Podiatrist
580 PARK AVE, SUITE 1C
NEW YORK, NY 10065
Dermatology
580 PARK AVE
NEW YORK, NY 10065
Dermatology
580 PARK AVE
NEW YORK, NY 10065
Otolaryngology (Facial Plastic Surgery)
580 PARK AVE, SUITE 1BE
NEW YORK, NY 10065
Dermatology
580 PARK AVE
NEW YORK, NY 10065

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 Jeffrey Roth's NPI number?

The NPI number for Jeffrey Roth is 1043203243. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Jeffrey Roth located?

Jeffrey Roth practices at 580 Park Ave, New York, NY 10065. The listed phone number is (212) 752-3692.

What is Jeffrey Roth's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey Roth enrolled in Medicare?

Yes. Jeffrey Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Roth was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.