DR. MALCOLM ZACHARY ROTH (NPI# 1598775884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598775884 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM ZACHARY ROTH |
| Credential | MD, FACS |
| Practice Address |
925 49th St 1st Floor Brooklyn NY 11219-2923 |
| Practice Telephone | 7182837022 |
| Practice Fax Number | 7182838123 |
| Mailing Telephone | 7182837022 |
| Mailing Fax Number | 7182838123 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
158057 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
158057 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 26E721 | 01 | |
| NY | 01094444 | 05 | |
| GHI | 0015625 | 01 |
| Street Address |
925 49TH ST 1ST FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311431 | David L Feldman | Plastic Surgery | 925 49th St, Brooklyn, NY 11219-2923 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215940671 | Gary Kimmel | Surgery | 112 Prospect Park W, Brooklyn, NY 11215-3710 | 2006-08-15 |
| 1720047053 | Afshin Parhiscar | Surgery | 134 Atlantic Ave, Brooklyn, NY 11201 | 2006-03-23 |
| 1396166054 | Kevin J Cho Md Pllc | Surgery | 263 7th Ave, Suite 5e, Brooklyn, NY 11215-7247 | 2013-12-26 |
| 1831497007 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1053617944 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-02-10 |
| 1073692984 | Thomas Woloszyn, Md | Surgery | 953 49th St, 4th Floor, Brooklyn, NY 11219-2923 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239590 | Rachel Susan Markow | Surgery | 229 7th St Ste 105, Garden City, NY 11530-5766 | 2019-08-08 |
| 1932614658 | Artesia Plastic Surgery, Pllc | Surgery | 6044 Main St Ste 106, Williamsville, NY 14221-6883 | 2017-12-04 |
| 1659882843 | Scott E Newman Md PC | Surgery | 1 Odell Plz Ste 277, Yonkers, NY 10701-1402 | 2017-10-16 |
| 1699181354 | Gynecology On Junction, P.C. | Surgery | 4023a Junction Blvd, Second Floor, Corona, NY 11368-2123 | 2014-07-02 |
| 1649683905 | Dr. Fugo Plastic Surgery, P.l.l.c. | Surgery | 92 Old Route 9w, Suite 100, New Windsor, NY 12553-5485 | 2014-06-04 |
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1780941096 | Lauren B Shikowitz-behr | Surgery | 143 N Long Beach Rd Ste 4, Rockville Centre, NY 11570-4438 | 2012-04-12 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1093004640 | Joseph Andrew Ricci | Surgery | 1776 Eastchester Road, Division of Plastic Surgery, Second Floor, Bronx, NY 10461 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.