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

Dr. Jeffrey Stephen Roth, MD

Individual provider Dermatology Physician · NPI 1043203243

Dr. Jeffrey Stephen Roth, MD is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

580 Park Ave
New York, NY 10065-7313
Phone: (212) 752-3692
Fax: (212) 838-5636
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1828581 (NY)

Record details

NPI number1043203243
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESAugust 3, 2012

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