Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDRA NICOLE ROTH RN
NPI 1336919141
Specialist in Ellenville, NY

Q: What is Sandra Roth's NPI number?

The NPI number for Sandra Roth is 1336919141. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Q: What is Sandra Roth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Roth was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 January 03, 2024

979 ULSTER HEIGHTS RD, ELLENVILLE, NY 12428(347) 403-0477 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jan 7, 2024 (2 updates tracked since 2024).

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About Sandra Nicole Roth Rn NPPES

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

SANDRA NICOLE ROTH RN (NPI 1336919141) is an individual specialist in Ellenville, New York, licensed in New York (2062159261) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1336919141

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSANDRA NICOLE ROTHCredential: RN

Location Address979 ULSTER HEIGHTS RDEllenville, NY 12428-5746

Mailing Address979 Ulster Heights RdEllenville, NY 12428-5746 · (347) 403-0477

Phone(347) 403-0477

Sole ProprietorYes

Enumeration DateJanuary 3, 2024

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1336919141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 2062159261

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedRegistered NurseTaxonomy 163W00000X · License 834387 (NY)

979 ULSTER HEIGHTS RD, Ellenville, NY 12428

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW YORK DIRECT MEDICAL PLLC

Internal Medicine

979 ULSTER HEIGHTS RD
ELLENVILLE, NY 12428

Ulster County (718) 795-4443

DMITRY ROTH

Specialist

979 ULSTER HEIGHTS RD
ELLENVILLE, NY 12428

Ulster County (718) 300-0600

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 1336919141. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Sandra Roth located?

Sandra Roth practices at 979 Ulster Heights Rd, Ellenville, NY 12428. The listed phone number is (347) 403-0477.

What is Sandra Roth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sandra Roth was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.