Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Jay Roth, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1467541078

Dr. Daniel Jay Roth, MD is a Pediatric Adolescent Medicine Physician in South Windsor, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1665 Ellington Rd
South Windsor, CT 06074-2778
Phone: (860) 648-2447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1830 D Youville Ln, Atlanta, GA 30341-1460 — (267) 980-3116

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 81112 (CT)

Record details

NPI number1467541078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address1830 D Youville Ln, Atlanta, GA 30341-1460

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