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Active NPI 1386669166 Individual Practitioner Male Practitioner

Ephraim S Roth

Specialist • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Ephraim Roth is a registered healthcare professional specializing in Specialist in Flushing, NY. Practice services are available at 5645 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for shock wave therapy for urinary system stones without water bath, anesthesia for removal of prostate including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5645 Main St

Flushing, NY 113555045

Telephone 7186701435
Associated Practice Facility / Clinic
🏢 Booth Medical Associates Pc Facility NPI 1912996703

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.3 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
217 Specialists

Practicing in Flushing, NY (23296 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00873 Anesthesia for shock wave therapy for urinary system stones without water bath
47 46 $148.37 $146.00

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 175907-1

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

20 Associated Practitioners
Sonia Tenadu , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033147814

Certified Registered Nurse Anesthetist

Dr. David Brady , MD

Anesthesiology

NPI 1063448157

Doctor of Medicine (M.D.)

Crisalind Canga , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083656342

Certified Registered Nurse Anesthetist

Dr. Sharda Dave , MD

Anesthesiology

NPI 1144258393

Doctor of Medicine (M.D.)

NPI 1255468500

Doctor of Medicine (M.D.)

NPI 1396771481

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2010

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 7186701435)

📍
Updated Business Mailing Address November 17, 2010

Registered at 744 W MICHIGAN AVE, JACKSON, MI 492011909 (Tel: 5177876440)

👤
Provider Name / Credentials Updated November 17, 2010

Recorded as EPHRAIM ROTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Specialist (License #175907-1 in NY)

🟢
Initial NPI Registration & Enumeration July 13, 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: 1386669166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: November 17, 2010
Sole Proprietor: No

Mailing Address

744 W Michigan Ave

Jackson, MI 492011909

Phone: 5177876440

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.