IndividualActive
Jonathan Roth, M.D.
NPI 1831271410 · Sports Medicine (Orthopaedic Surgery) Physician · Wayne, NJ
Provider details
- NPI number
- 1831271410
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10080100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1055 Hamburg Tpke
Wayne, NJ 07470-3235
Phone: (973) 616-0200
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 416457
Boston, MA 02241-6457
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2019-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.