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

Jennifer D Roth, PA

Individual provider Physician Assistant · NPI 1063636280

Jennifer D Roth, PA is a Physician Assistant in Glen Cove, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

104 Forest Ave
Glen Cove, NY 11542-2015
Phone: (516) 759-5406
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009096 (NY)

Record details

NPI number1063636280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Glen Cove