MR. Jay Edward Roth, CRNP is a psychiatric/mental health nurse practitioner in Philadelphia, PA with 15 years of experience. MR. Jay Edward Roth, CRNP NPI is 1851615066. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
706 S 11TH ST
#3B
PHILADELPHIA, PA
ZIP 19147-968
Phone: (215) 913-7381
The NPI 1851615066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.