DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL JAY ROTH, M.D.

Active

DR. DANIEL JAY ROTH, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in SOUTH WINDSOR, Connecticut. NPI 1467541078 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · SOUTH WINDSOR, CT

Registration Details

NPI Number
1467541078
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.86777138079 yrs)
Last Updated
May 8, 2025
License
81112 (CT)

Practice Information

Address
1665 ELLINGTON RD
SOUTH WINDSOR, CT, 060742778
Browse CT providers · Browse ZIP 06074
Phone
8606482447
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in SOUTH WINDSOR, CT

Name Credential NPI
DR. EILEEN FREEDMAN M.D. 1366406720
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.