Active NPIIndividual providerSole proprietor

S Moshe Roth, OD

Optometrist in Old Bridge, New Jersey

NPI Number1124026687
Practice location
3111 US Highway 9, Old Bridge, NJ 08857-2690
Fax
732-679-2020
Last updated
May 12, 2009

S Moshe Roth is an Optometrist based in Old Bridge, NJ. S Moshe Roth practices in Old Bridge, NJ and has the professional credentials of OD. The NPI Number for S Moshe Roth is 1124026687 and holds a License No. OA00463500 (NJ). The current practice location address for S Moshe Roth is 3111 US Highway 9, Old Bridge, NJ 08857-2690 and can be reached out via phone at 732-679-2020 and via fax at 732-679-2020.

Provider Profile Details

NPI Number
1124026687
Provider Name
S Moshe Roth
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
3111 US Highway 9, Old Bridge, NJ 08857-2690
Phone Number
732-679-2020
Fax Number
732-679-2020
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2005
Last Update Date
May 12, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
3111 US Highway 9
Old Bridge, NJ 08857-2690
Zip
08857-2690
Phone Number
732-679-2020
Fax Number
732-679-2020
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
3111 US Highway 9
Old Bridge, NJ 08857-2690
City
Old Bridge
State
NJ
Zip
08857-2690
Phone Number
732-679-2020
Fax Number
732-679-6980

License Information

License Number
OA00463500
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of S Moshe Roth, OD?

The NPI number of S Moshe Roth, OD is 1124026687. It was assigned on July 8, 2005 and is currently active in the NPPES registry.

What is the specialty of S Moshe Roth, OD?

S Moshe Roth, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number OA00463500.

Where does S Moshe Roth, OD practice?

The practice location is 3111 US Highway 9, Old Bridge, NJ 08857-2690. The office can be reached at 732-679-2020 (phone) or 732-679-2020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124026687 directly on the NPPES registry website.

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