Jennifer Lobban Roth, | |
3450 Wayne Ave, Apt 13h, Bronx, NY 10467-2510 | |
(305) 979-8001 | |
Not Available |
Full Name | Jennifer Lobban Roth |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 3450 Wayne Ave, Bronx, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174805725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 390200000X. (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nluc Pllc | 3072752302 | 215 |
Next Level Mv Llc | 5991062085 | 136 |
Entity Name | Nluc Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619 |
Entity Name | Next Level Mv Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013432285 PECOS PAC ID: 5991062085 Enrollment ID: O20171128000837 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lobban Roth, 3450 Wayne Ave, Apt 13h, Bronx, NY 10467-2510 Ph: () - | Jennifer Lobban Roth, 3450 Wayne Ave, Apt 13h, Bronx, NY 10467-2510 Ph: (305) 979-8001 |
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