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Dr. Cory Roth , MD

Anesthesiology β€’ Hackensack, NJ

Active NPI 1134706328 Individual Practitioner Male Practitioner
Practice location in NPPES

30 Prospect Ave Ste 2703
Hackensack, NJ 076011915

Call 5519962419 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave Ste 2703

Hackensack, NJ 076011915

Telephone 5519962419
Fax 5519963962

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Roth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Roth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hackensack and New Jersey

96 active clinicians are listed under Anesthesiology with a practice address in Hackensack, NJ (1,714 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

0% of these 96 clinicians have the CMS telehealth indicator.

64.6% of these 96 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-31
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES NJ 25MA13209100

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - INTERNAL MEDICINE

Medicare Enrollment ID

I20210507000243

Enrollment State Jurisdiction

OH

PECOS Control ID

2668881467

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1518276773

Doctor of Medicine (M.D.)

NPI 1679778823

Doctor of Medicine (M.D.)

Dr. Philip Eck , MD

Anesthesiology

NPI 1003251349

Doctor of Medicine (M.D.)

Francois Merle

Anesthesiology

NPI 1912293127
Pratap Nadavaluru

Anesthesiology

NPI 1629497946
Kyungmoon Roh , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245986140

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 31, 2026

Registered at 30 PROSPECT AVE STE 2703, HACKENSACK, NJ 076011915 (Tel: 5519962419)

πŸ“
Updated Business Mailing Address July 31, 2026

Registered at 30 PROSPECT AVE STE 2703, HACKENSACK, NJ 076011915 (Tel: 5519962419)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2026

Anesthesiology (license number reported to NPPES: NJ 25MA13209100)

πŸ“
Updated Practice Location June 12, 2022

Registered at 1800 ORLEANS ST, BALTIMORE, MD 212870010 (Tel: 4109557615)

πŸ“
Updated Business Mailing Address June 12, 2022

Registered at 1800 ORLEANS ST STE 6302, BALTIMORE, MD 212870010 (Tel: 4109557615)

βœ…
NPI Profile Active March 25, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2021

Registered at 3595 OLENTANGY RIVER RD, COLUMBUS, OH 432143440 (Tel: 6145665456)

πŸ“
Business Mailing Address (Initial Record) March 25, 2021

Registered at 3595 OLENTANGY RIVER RD, COLUMBUS, OH 432143440 (Tel: 6145665456)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2021

Recorded as CORY ROTH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 25, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134706328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2021
Last Update: July 31, 2026
Sole Proprietor: No

Other Anesthesiology Specialists in Hackensack

All Anesthesiology Specialists in Hackensack

Mailing Address

30 Prospect Ave Ste 2703

Hackensack, NJ 076011915

Phone: 5519962419

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.