NITZAN ROTH (NPI# 1407127111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407127111 |
| Entity Type | Individual |
| Full Name | NITZAN ROTH |
| Credential | M.D. |
| Practice Address |
400 Community Dr Manhasset NY 11030-3815 |
| Mailing Address |
Sandra Atlas Bass Center for Liver Diseases 400 Community Drive Manhasset NY 11030 |
| Practice Telephone | 5165624664 |
| Mailing Telephone | 5165624664 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
295088 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SID # 113871 | 113871 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 N State St, Ct-a7d, Los Angeles, CA 900331029 | 3232267556 | 3232262657 |
| Street Address |
400 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255311403 | Halana Rothbort | Psychiatry & Neurology | 400 Community Dr, Manhasset, NY 11030-3815 | 2006-01-21 |
| 1457974107 | Diana Elena Dalmasi | Family Medicine | 400 Community Dr, Manhasset, NY 11030-3815 | 2020-05-28 |
| 1871137646 | Jinu Mathew Thomas | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-11-04 |
| 1144863051 | Elishia Kathleen Crumwell-mack | Internal Medicine | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-10-23 |
| 1477102234 | Lawrence Lau | Transplant Surgery | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-09-05 |
| 1619520376 | Cassandra L Jonaitis | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-07-22 |
| 1932751757 | Danielle Lauren Cabral | Pharmacist | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-07-11 |
| 1629542691 | Julie Lauren Pennetti | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-01-14 |
| 1568949600 | Michelle H Min | Pharmacist | 400 Community Dr, Manhasset, NY 11030 | 2018-07-22 |
| 1194246710 | Gabrielle Nicole Plaia | Pharmacist | 400 Community Dr, Manhasset, NY 11030-3815 | 2017-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084032 | Robert Alfred Mitchell | Internal Medicine | 1425 Madison Ave Rm 1170, New York, NY 10029-6514 | 2019-07-11 |
| 1548548449 | Elizabeth Zheng | Internal Medicine | 622 W 168th St Ph 14-105, New York, NY 10032 | 2011-07-26 |
| 1366971152 | Madhu Mathew | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2017-06-06 |
| 1811180359 | Julia Wattacheril | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2007-08-18 |
| 1881899615 | Catherine Lucero | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2007-06-20 |
| 1114136967 | Alyson Nicole Fox | Internal Medicine | 622 West 168th Street, Division of Gastroenterology and Hepatology, New York, NY 10032 | 2007-05-21 |
| 1801822622 | Elizabeth Clarice Verna | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2006-06-23 |
| 1376583930 | Lorna M. Dove | Internal Medicine | 622 W 168th St, Ph 14-c, New York, NY 10032-3720 | 2006-06-08 |
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| 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.