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SCOTT L. ROTH M.D LLC NPI 1447445291


NPI Information

NPI: 1447445291
Provider Name: SCOTT L. ROTH M.D, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1012 ELMGROVE RD
ROCHESTER, NY
ZIP 14624
Phone: (585) 426-4160
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SCOTT L. ROTH M.D, LLC is a medical specialty clinic center in Rochester, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SCOTT L. ROTH M.D, LLC NPI is 1447445291. The provider is registered as an organization entity type.

The provider's business location address is:

1012 ELMGROVE RD
ROCHESTER, NY
ZIP 14624-324
Phone: (585) 426-4160
Fax: (585) 426-4167

The provider's authorized official is Scott Leonard Roth .
The authorized official title is Owner and has the following contact phone number (585) 426-4160.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty150586NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E15572MEDICARE UPINNEW YORK
201449238MEDICAIDNEW YORK
3BB9403MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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