PETER MARTIN ROTH PA
NPI 1619601028
Physician Assistant - Medical in Roslyn, NY

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Martin Roth Pa NPPES

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

PETER MARTIN ROTH PA (NPI 1619601028) is an individual medical provider in Roslyn, New York, licensed in New York (028473) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619601028
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePETER MARTIN ROTHCredential: PA
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1347
Mailing Address100 Port Washington BlvdRoslyn, NY 11576-1347 · (516) 562-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
NPI 1619601028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 028473
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

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

Peter Martin Roth Pa 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 ID9830565191
PECOS Enrollment IDI20221012001477
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.

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

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 Peter Roth's NPI number?

The NPI number for Peter Roth is 1619601028. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Peter Roth located?

Peter Roth practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Peter Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Peter Roth enrolled in Medicare?

Yes. Peter 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 Peter Roth affiliated with any hospitals?

According to CMS data, Peter Roth is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Roth was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.