1. Home
  2. Directory
  3. New York
  4. Delmar
  5. Internal Medicine
  6. NPI Profile

MARIAM ROTH D.O.
NPI 1700103819
Internal Medicine in Delmar, NY

Active since April 28, 2010PECOS Enrolled
250 DELAWARE AVE, SUITE 100, DELMAR, NY 12054(518) 439-8077(519) 439-8070 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariam Roth D.o. NPPES

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

MARIAM ROTH D.O. (NPI 1700103819) is an individual internal medicine provider in Delmar, New York, licensed in New York (271074) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700103819
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIAM ROTHCredential: D.O.
Location Address250 DELAWARE AVE, SUITE 100Delmar, NY 12054-1420
Mailing Address711 Troy Schenectady Rd, Suite 203Latham, NY 12110-2442 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 439-8077
Fax(519) 439-8070
Sole ProprietorNo
Enumeration DateApril 28, 2010
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1700103819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 271074
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
250 DELAWARE AVE, Delmar, NY 12054
Open in Google Maps ↗

Other Identifiers 2

Medicaid03636995NY
Medicare PINJ400095245NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Roth D.o. 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 12054 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

COMMUNITY CARE PHYSICIANS, PC
Obstetrics & Gynecology
250 DELAWARE AVE, SUITE 100
DELMAR, NY 12054
Albany County (518) 274-0476
ORTHOPEDICSNY, LLP
Orthopaedic Surgery
250 DELAWARE AVE, SUIET 200
DELMAR, NY 12054
Albany County (518) 489-2663
CHERYL LYNNE BRUEN DPT
Physical Therapist
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-8077
MARINO BASELICE
Internal Medicine
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-8077
COMMUNITY CARE PHYSICIANS, PC
Podiatrist
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-7176
DR. GLORIA GRACE GUPTILL M.D.
Internal Medicine
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-8077
COMMUNITY CARE PHYSICIANS, PC
Family Medicine
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-8077
COMMUNITY CARE PHYSICIANS, PC
Physical Therapist
250 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-2417

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 Mariam Roth's NPI number?

The NPI number for Mariam Roth is 1700103819. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Mariam Roth located?

Mariam Roth practices at 250 Delaware Ave Suite 100, Delmar, NY 12054. The listed phone number is (518) 439-8077.

What is Mariam Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mariam Roth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mariam Roth was last updated on February 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.