Male or Other

Dr. Steven G. Roth MD

Full Name

Dr. Steven Gregory Roth MD

NPI Number

1649625633

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/27/2016

Specialties

(Taxonomies)

Code

207X00000X

Primary Taxonomy

No

Licenses

State

New York

License Number

321529

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 100265
1600 SW ARCHER RD

City

Gainesville
Gainesville

State

FL
FL

Postal Code

32610-0265
32610-2380

Country

US
US

Telephone Number

(352) 273-9000
(352) 273-9000

Health Information Exchange

Endpoint Type

FHIR
FHIR
DIRECT

Endpoint

https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
CWID@direct.nyp.org

Endpoint Description

FHIR
FHIR
Direct Address

Use

Health Information Exchange (HIE)
Health Information Exchange (HIE)
Direct

Content Type

Other

Other Description:
FHIR

Other

Other Description:
FHIR

Other

Other Description:
Direct Address

Affiliation

N
N
N

Endpoint Location

622 W 168th St Ph 111102New York, NY100323720US
622 W 168th St Ph 111102New York, NY100323720US
622 W 168th St Ph 111102New York, NY100323720US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/19/2024

Provider Address