MR. JAY C S ROTH (NPI# 1932259041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932259041 |
| Entity Type | Individual |
| Full Name | MR. JAY C S ROTH |
| Credential | EDD |
| Practice Address |
744 Mountain Blvd Watchung NJ 07069 |
| Mailing Address |
13 Crown Drive Warren NJ 07059 |
| Practice Telephone | 9087911400 |
| Practice Fax Number | 9086471380 |
| Mailing Telephone | 9086471380 |
| Mailing Fax Number | 9086471380 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5100450 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851615066 | Jay Edward Roth | Nurse Practitioner | 706 S 11th St, #3b, Philadelphia, PA 19147-1968 | 2010-03-16 |
| 1477900090 | Jay Roth | Social Worker | 200 E 115th St, Chicago, IL 60628-5015 | 2016-05-24 |
| Street Address |
744 MOUNTAIN BLVD |
| City | WATCHUNG |
| State | NJ |
| Zip Code | 07069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776975 | Susan Roth | Psychologist | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2006-07-21 |
| 1487793816 | Robert Christopher Stucky | Psychiatry & Neurology | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976494 | Revital Eyes Nj Inc | Optometrist | 1515 Rt 22 West, Watchung, NJ 07069 | 2018-03-18 |
| 1336678762 | Dana Silagi | Dentist | 121 Valley Rd, Watchung, NJ 07069 | 2017-06-08 |
| 1295286193 | Pragnesh Patel | Pharmacist | 1501 Us Hwy 22, Walmart Pharmacy, Watchung, NJ 07069 | 2016-10-17 |
| 1457722803 | Ashraf Medical Md.pa | Exclusive Provider Organization | 475 Watchung Ave Suite 8, Watchung, NJ 07069 | 2015-10-12 |
| 1528458288 | Derrell Sloane | Pharmacy Technician | 1155 Rt. 22w, Watchung, NJ 07069 | 2015-02-02 |
| 1841547999 | Stephen John Kustera | Physical Medicine & Rehabilitation | 35 Sequoia Dr., Watchung, NJ 07069 | 2012-08-08 |
| 1568726438 | Manoocher Fateh | Specialist | 536 Johnston Drive, Watchung, NJ 07069 | 2012-06-26 |
| 1609168418 | Renu M Cheng | Physical Therapist | 170 Hill Hollow Road, Watchung, NJ 07069 | 2011-05-11 |
| 1356516173 | Robert Edward Knapp | General Practice | 40 Reynolds Dr, Watchung, NJ 07069 | 2008-04-23 |
| 1104048719 | Jbc Therapeutic Services, Inc. | Social Worker | 786 Mountain Blvd., Suite 102, Watchung, NJ 07069 | 2007-05-03 |
| Find all providers in zip 07069 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966034 | Plainfield Consultation Center | Psychologist | 32 Johnston Dr, Watchung, NJ 07069-4905 | 2007-11-15 |
| 1053450676 | Ilene Malovany Kesselhaut | Psychologist | 81 Joan Dr, Watchung, NJ 07069-5418 | 2007-02-06 |
| 1770643900 | John L Aylward | Psychologist | 32 Johnston Drive, Watchung, NJ 07069-4905 | 2006-12-11 |
| 1497776975 | Susan Roth | Psychologist | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2006-07-21 |
| 1346389467 | Marilyn Oldman | Psychologist | 10 Shawnee Drive, Suite 7a, Watchung, NJ 07069 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598972 | Adam Kaplan | Psychologist | 40 E Midland Ave Ste 101, Paramus, NJ 07652-2927 | 2020-11-05 |
| 1619578002 | Mc Counseling Services, LLC | Psychologist | 5 Sharon Drive, East Hanover, NJ 07936 | 2020-11-03 |
| 1013524636 | Tiesha Finley | Psychologist | 1069 Avenue C Apt 3, Bayonne, NJ 07002-3336 | 2020-09-28 |
| 1477169985 | Jana Fern Luber | Psychologist | 551 Valley Rd # 128, Upper Montclair, NJ 07043-1832 | 2020-09-20 |
| 1376159889 | Kenneth George Hoyne | Psychologist | 666 Plainsboro Rd Ste 1214, Plainsboro, NJ 08536-3046 | 2020-09-20 |
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1649881541 | Alexia M Konko | Psychologist | 495 Iron Bridge Rd Ste 12, Freehold, NJ 07728-5306 | 2020-08-13 |
| 1750904090 | Sandra S. Lee | Psychologist | 236 Crescenzi Ct, West Orange, NJ 07052-4136 | 2020-05-21 |
| 1043831183 | Nocd New Jersey PC | Psychologist | 177 Willet St, Passaic, NJ 07055-1929 | 2020-04-29 |
| 1508486127 | Anne Castley Burdzy | Psychologist | 375 N Main St Ste B6, Williamstown, NJ 08094-1475 | 2020-04-23 |
| 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.