Jonathan A Roth, MD | |
200 Bowman Dr, Suite E360, Voorhees, NJ 08043-9623 | |
(856) 751-7880 | |
Not Available |
Full Name | Jonathan A Roth |
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Gender | Male |
Speciality | Urology |
Location | 200 Bowman Dr, Voorhees, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215903687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MA07949600 (New Jersey) | Primary |
208800000X | Urology | MD061311L (Pennsylvania) | Secondary |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
Entity Name | Urology For Children Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780736686 PECOS PAC ID: 1052609658 Enrollment ID: O20161014000586 |
Mailing Address | Practice Location Address |
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Jonathan A Roth, MD 200 Bowman Dr, Ste E360, Voorhees, NJ 08043-9623 Ph: (856) 751-7880 | Jonathan A Roth, MD 200 Bowman Dr, Suite E360, Voorhees, NJ 08043-9623 Ph: (856) 751-7880 |
Dr. Zarine Rohinton Balsara, MD/PHD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Bowman Dr Ste E360, Voorhees, NJ 08043 Phone: 856-751-7880 Fax: 856-751-9133 | |
Dr. Brijesh Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 136 Route 73 Ste A, Voorhees, NJ 08043 Phone: 877-388-2778 Fax: 856-424-7529 | |
Dr. Jayram Krishnan, D.O., M.B.A. Urology Medicare: Accepting Medicare Assignments Practice Location: 136 Route 73, Voorhees, NJ 08043 Phone: 877-388-2778 Fax: 856-424-7529 | |
Mark L Fallick, MD Urology Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043 Phone: 856-673-1615 Fax: 856-424-7621 | |
Gregory E Dean, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite E-360, Voorhees, NJ 08043 Phone: 856-751-7880 | |
Dr. James C Sipio, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043 Phone: 856-673-1600 Fax: 856-424-7621 |