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Deactivated NPI 1376559450 Deactivated / Inactive NPI Male Practitioner

Dr. Joel A. Roth , MD

Specialist • Summit, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joel Roth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date December 05, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Joel Roth, MD was a registered Specialist practicing in Summit, NJ. Throughout an active medical career spanning 13 years, Dr. Roth provided care at the practice location at OVERLOOK HOSPITAL until profile deactivation on 2019-12-05.

Practice Location & Contact Primary Location

Practice Address

Overlook Hospital
99 Beauvoir Ave

Summit, NJ 079020220

Telephone 9085222145
Fax 9085222320

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Summit, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Summit, NJ (1802 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA02694600

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mona Labat , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1366530693

Doctor of Medicine (M.D.)

Dr. Prabha Pai , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1407940240

Doctor of Medicine (M.D.)

Dr. Miles Levin , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1477702124

Doctor of Medicine (M.D.)

Dr. Sushama Karmarkar , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1821182668

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2019

Record deactivated on December 05, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at OVERLOOK HOSPITAL, 99 BEAUVOIR AVE, SUMMIT, NJ 079020220 (Tel: 9085222145)

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Updated Business Mailing Address July 08, 2007

Registered at 8 CEDAR RIDGE RD, GREEN BROOK, NJ 088122030 (Tel: 9087694746)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOEL ROTH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25MA02694600 in NJ)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376559450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Deactivation Date: December 05, 2019

Mailing Address

8 Cedar Ridge Rd

Green Brook, NJ 088122030

Phone: 9087694746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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