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Deactivated NPI 1932259041 Deactivated / Inactive NPI Male Practitioner

Dr. Jay C S Roth , EdD

Psychologist • Watchung, 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. Jay Roth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2007
NPI Deactivation Date February 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Roth, EdD was a registered Psychologist practicing in Watchung, NJ. Throughout an active medical career spanning 15 years, Dr. Roth provided care at the practice location at 744 MOUNTAIN BLVD until profile deactivation on 2022-02-28.

Practice Location & Contact Primary Location

Practice Address

744 Mountain Blvd

Watchung, NJ 07069

Telephone 9087911400
Fax 9086471380

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Watchung, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Watchung, NJ (1608 Statewide)

Telehealth Adoption Rate
0.0% 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NJ 5100450

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1497776975

Doctor of Education (Ed.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 February 28, 2022

Record deactivated on February 28, 2022

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 744 MOUNTAIN BLVD, WATCHUNG, NJ 07069 (Tel: 9087911400)

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Updated Business Mailing Address July 08, 2007

Registered at 13 CROWN DRIVE, WARREN, NJ 07059 (Tel: 9086471380)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAY ROTH, EDD

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

Psychologist (License #5100450 in NJ)

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Initial NPI Registration & Enumeration January 11, 2007

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: 1932259041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: July 08, 2007
Deactivation Date: February 28, 2022

Mailing Address

13 Crown Drive

Warren, NJ 07059

Phone: 9086471380

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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