Jennifer Roth, PA
NPI 1063636280 · Physician Assistant · Glen Cove, NY
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Roth, PA is a Physician Assistant provider in Glen Cove, NY (NPI 1063636280).
Provider details
- NPI number
- 1063636280
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 009096 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jennifer Roth's NPI number?
- Jennifer Roth's National Provider Identifier (NPI) is 1063636280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Roth's specialty?
- Jennifer Roth is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Roth located?
- Jennifer Roth's practice location on file with NPPES is 104 Forest Ave, Glen Cove, NY 11542-2015.
- What is Jennifer Roth's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Roth is (516) 759-5406.
- Does Jennifer Roth accept Medicare?
- Jennifer Roth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Roth's NPI active?
- Yes — Jennifer Roth's NPI (1063636280) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.