MR. JAMES M II ROTH (MPH, FNP) – Family Nurse Practitioner, NPI 1053967992
Family Nurse Practitioner
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NPPES metrics only — not quality of care.
16,993 NURSE PRACTITIONER in NY
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Provider Addresses for MR. JAMES M II ROTH (MPH, FNP)
73, New Scotland Avenue, Park South, Lark Street, Albany, Albany County, New York, 12208, United States
ALBANY, NY 122083478
Phone: (518) 262-4125
Type: Location
2114, Ferguson Street, Coldbrook, Rotterdam, Schenectady County, New York, 12303, United States
SCHENECTADY, NY 123034127
Phone: (585) 755-7274
Type: Mailing
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 121102461
Phone: (518) 782-3700
Type: Mailing
7B JOHNSON RD
LATHAM, NY 121103003
Phone: (518) 782-7733
Fax: (518) 782-0800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220412002306 | I | Pediatric Medicine | NY | TBD |
| I20240614001170 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 12208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| - | TX | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | MD | |
| Nurse Practitioner | NY |
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