OLITSA ROTH, MD
NPI 1407297245
Pediatrics - Adolescent Medicine in Brooklyn, NY

Q: What is Olitsa Roth, MD's NPI number?

The NPI number for Olitsa Roth, MD is 1407297245. It was assigned to this organization in the NPPES registry on July 9, 2013.

Q: What is Olitsa Roth, MD's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Olitsa Roth, MD was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 09, 2013CLIA 33D0146454 · Certificate of Compliance

5211 15TH AVE, BROOKLYN, NY 11219(718) 851-7444(718) 851-9594 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Olitsa Roth, Md NPPES

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

OLITSA ROTH, MD (NPI 1407297245) is a healthcare organization registered as an adolescent medicine in Brooklyn, New York and active in the NPI registry since July 2013. The organization holds a CLIA Certificate of Compliance certificate valid through January 19, 2027 and lists Rosalyn Schnitzler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407297245

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameOLITSA ROTH, MD

Location Address5211 15TH AVEBrooklyn, NY 11219-1460

Mailing Address5211 15th AveBrooklyn, NY 11219-1460 · (718) 851-7444 · Fax (718) 851-9594

Phone(718) 851-7444

Fax(718) 851-9594

Organization SubpartNo

Authorized OfficialRosalyn SchnitzlerOffice Manager · (718) 851-7444

Enumeration DateJuly 9, 2013

✔ NPI 1407297245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 148687

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

5211 15TH AVE, Brooklyn, NY 11219

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Other Identifiers 1

Medicaid00715820NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0146454

Olitsa Roth MD · Brooklyn, NY

Active · expires Jan 19, 2027

CLIA Number33D0146454

Laboratory TypePhysician Office

Certificate Effective DateJanuary 20, 2025

Certificate Expiration DateJanuary 19, 2027

Laboratory DirectorDr. Olitsa Roth

Laboratory Phone(718) 851-7444

Laboratory LocationOlitsa Roth MD5211 15th Avenue, Brooklyn, NY 11219

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

DANIEL ROTH MD

Pediatrics