National Provider Identifier

Jennifer Roller, M.D.

Jennifer Roller, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Cheektowaga, NY and a listed phone number of (716) 893-7337.

NPI 1912936121Cheektowaga, NYPediatrics Physician

Profile Overview

NPI
1912936121
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
July 01, 2006
Last Updated
April 28, 2020

Practice Location

  • 2625 Harlem RD
  • Suite 210
  • Cheektowaga, NY 14225-4031

Phone: (716) 893-7337

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1912936121
Entity Type
Individual
Last Name
Roller
First Name
Jennifer
Credential
M.D.
Mailing Street Address
2625 Harlem RD
Mailing Address Line 2
Suite 210
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4031
Mailing Country
US
Mailing Phone
(716) 893-7337
Mailing Fax
(716) 893-7699
Practice Street Address
2625 Harlem RD
Practice Address Line 2
Suite 210
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4031
Practice Country
US
Practice Phone
(716) 893-7337
Practice Fax
(716) 893-7699
Enumeration Date
July 01, 2006
Last Updated
April 28, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
145776DL (NY, Preferred Care), 000527405001 (NY, Blue Cross), 1211730 (NY, Independent Health), 00026491301 (NY, Univera), 050602000020 (NY, Fidelis)