DR. DAPHNA ROTH PH.D.
NPI 1477785251
Clinical Neuropsychologist in Teaneck, NJ
About Dr. Daphna Roth Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAPHNA ROTH PH.D. (NPI 1477785251) is an individual clinical neuropsychologist in Teaneck, New Jersey, licensed in New Jersey (4643) and active in the NPI registry since August 2009. She has opted out of Medicare through November 23, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Daphna Roth Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 23, 2015 through November 23, 2027.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daphna Roth's NPI number?
The NPI number for Daphna Roth is 1477785251. It was assigned to this individual provider in the NPPES registry on August 13, 2009.
Where is Daphna Roth located?
Daphna Roth practices at 57 Cedar Ln, Teaneck, NJ 07666. The listed phone number is (201) 220-5452.
What is Daphna Roth's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Daphna Roth enrolled in Medicare?
No. Daphna Roth has opted out of Medicare through November 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Daphna Roth was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Daphna Roth, PH.D. · NPI 1477785251
Clinical Neuropsychologist provider in Teaneck, New Jersey. Individual provider, active in the CMS NPPES registry since August 13, 2009.
## Identity
- **NPI:** 1477785251 (Entity type: Individual)
- **Enumerated:** August 13, 2009
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 4643 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 57 CEDAR LN, Teaneck, NJ 07666-4444
- **Phone:** (201) 220-5452
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 13, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1477785251) · Data from the CMS NPPES public registry.