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NICHOLAS JAMES ROTH PA-C
NPI 1386372050
Physician Assistant in Massapequa Park, NY

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
136 KINSELLA AVE, MASSAPEQUA PARK, NY 11762(516) 462-2001 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas James Roth Pa-c NPPES

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

NICHOLAS JAMES ROTH PA-C (NPI 1386372050) is an individual physician assistant in Massapequa Park, New York and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386372050
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS JAMES ROTHCredential: PA-C
Location Address136 KINSELLA AVEMassapequa Park, NY 11762-3337
Mailing Address136 Kinsella AveMassapequa Park, NY 11762-3337 · (516) 462-2001
Phone(516) 462-2001
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1386372050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
136 KINSELLA AVE, Massapequa Park, NY 11762
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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

Nicholas James Roth Pa-c 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 ID840664512
PECOS Enrollment IDI20230320001983
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem that may not require health care professional 99281
An Emergency Department visit for a mild problem involves seeking immediate medical attention for non-life-threatening conditions. These can include minor injuries, fevers, or persistent discomfort. Medical professionals will assess your condition, provide treatment, and may suggest follow-up care.
30 services30 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11762 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Nicholas Roth's NPI number?

The NPI number for Nicholas Roth is 1386372050. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Nicholas Roth located?

Nicholas Roth practices at 136 Kinsella Ave, Massapequa Park, NY 11762. The listed phone number is (516) 462-2001.

What is Nicholas Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Roth enrolled in Medicare?

Yes. Nicholas 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.

Is Nicholas Roth affiliated with any hospitals?

According to CMS data, Nicholas Roth is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Nicholas Roth was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.