SANDRA M ROTH


Address: 52 Radburn Dr, Commack, NY 11725-1129
Phone: 6318645175

SANDRA M ROTH (NPI# 1033462312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033462312
Entity Type Individual
Full Name SANDRA M ROTH
Credential ANP-C
Practice Address 52 Radburn Dr
Commack
NY 11725-1129
Practice Telephone 6318645175
Mailing Telephone 6318645175
Enumeration Date 2012-10-23
Last Update Date 2012-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F306134-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers SANDRA ROTH

NPI Name Taxonomy Address Enumeration
1619034592 Sandra Elaine Roth Nurse Practitioner 6194 E Main St, Monterey, IN 46960-9297 2007-01-02

Office Location

Street Address 52 RADBURN DR
City COMMACK
State NY
Zip Code 11725-1129

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699322131 Amanda Grace Acebedo Student in an Organized Health Care Education/Training Program 785 Larkfield Rd, Commack, NY 11725 2019-08-20
1922667716 Diana Mcnamara Social Worker 13 Audrey Lane, Commack, NY 11725 2019-06-06
1821504333 Amy Koenig Specialist 787 Larkfield Rd, Commack, NY 11725 2017-12-19
1437661501 Commack Chemist Inc Pharmacy 6216 Jericho Turnpike, Commack, NY 11725 2017-10-30
1285168880 Stephanie Arico Counselor 14 Silver Pond Cir, Commack, NY 11725 2017-04-20
1235684432 Ams Primary Medical Care House Calls,pc Home Health 6277 Jericho Tpk, Commack, NY 11725 2016-08-18
1376927459 Min Sun Park Dentist All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 2015-07-17
1467843748 Joanna Keegan Pharmacy Technician 98 Veterans Memorial Highway, Commack, NY 11725 2015-02-09
1275936841 Jennie Bernstein Social Worker 368 Veterans Hwy Ste 2, Commack, NY 11725 2014-09-26
1417362021 Diana Matira Yildirim Pediatrics 646 Commack Road, Commack, NY 11725 2014-06-23
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487262887 Arielle Ashley Schwimmer Nurse Practitioner 47 Wesleyan Rd, Commack, NY 11725-2531 2020-07-21
1659852374 Irene Raphael Nurse Practitioner 66 Commack Rd Ste 20018, Commack, NY 11725-3405 2018-08-22
1942755830 Maryam Abubakar Nurse Practitioner 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 2016-08-20
1710328760 Bethany H Kennedy Nurse Practitioner 2171 Jericho Tpke Ste 135, Commack, NY 11725-2947 2013-07-07
1669768255 Tanima Yaibuathes Nurse Practitioner 149 Commack Rd Ste A, Commack, NY 11725-3459 2011-06-22
1285756957 Denyse Marie Hilsby Nurse Practitioner 81 Mall Dr, Commack, NY 11725-5703 2007-04-04
1902431422 Laura Anne Fox Nurse Practitioner 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 2020-03-04
1053887562 Ann Marie Perrino Nurse Practitioner 68 Hauppauge Rd, Commack, NY 11725-4431 2018-10-23
1255819249 Nicholas Paul Lattanzio Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-08-01
1750868295 Melissa Koziatek Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-07-27
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Competitor

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City COMMACK
Zip Code 11725

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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