SANDRA M ROTH ANP-C
NPI 1033462312
Nurse Practitioner - Adult Health in Commack, NY

Q: What is Sandra Roth's NPI number?

The NPI number for Sandra Roth is 1033462312. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Q: What is Sandra Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Roth was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2012

52 RADBURN DR, COMMACK, NY 11725(631) 864-5175 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Sandra M Roth Anp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA M ROTH ANP-C (NPI 1033462312) is an individual adult health provider in Commack, New York, licensed in New York (F306134-1) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1033462312

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA M ROTHCredential: ANP-C

Location Address52 RADBURN DRCommack, NY 11725-1129

Mailing Address52 Radburn DrCommack, NY 11725-1129 · (631) 864-5175

Phone(631) 864-5175

Sole ProprietorNo

Enumeration DateOctober 23, 2012

✔ NPI 1033462312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F306134-1

52 RADBURN DR, Commack, NY 11725

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Roth's NPI number?

The NPI number for Sandra Roth is 1033462312. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Sandra Roth located?

Sandra Roth practices at 52 Radburn Dr, Commack, NY 11725. The listed phone number is (631) 864-5175.

What is Sandra Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sandra Roth was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.