DMITRY ROTH
NPI 1649123936
Specialist in Ellenville, NY

Q: What is Dmitry Roth's NPI number?

The NPI number for Dmitry Roth is 1649123936. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Q: What is Dmitry 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 Dmitry Roth was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 February 17, 2026

979 ULSTER HEIGHTS RD, ELLENVILLE, NY 12428(718) 300-0600 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dmitry Roth NPPES

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

DMITRY ROTH (NPI 1649123936) is an individual specialist in Ellenville, New York, licensed in New York (1961059251) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1649123936

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDMITRY ROTH

Location Address979 ULSTER HEIGHTS RDEllenville, NY 12428-5746

Mailing Address979 Ulster Heights RdEllenville, NY 12428-5746 · (718) 300-0600

Phone(718) 300-0600

Sole ProprietorYes

Enumeration DateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1649123936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 1961059251

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.

979 ULSTER HEIGHTS RD, Ellenville, NY 12428

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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

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.

SANDRA NICOLE ROTH RN

Registered Nurse

979 ULSTER HEIGHTS RD
ELLENVILLE, NY 12428

Ulster County (347) 403-0477

NEW YORK DIRECT MEDICAL PLLC

Internal Medicine

979 ULSTER HEIGHTS RD
ELLENVILLE, NY 12428

Ulster County (718) 795-4443

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 Dmitry Roth's NPI number?

The NPI number for Dmitry Roth is 1649123936. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Dmitry Roth located?

Dmitry Roth practices at 979 Ulster Heights Rd, Ellenville, NY 12428. The listed phone number is (718) 300-0600.

What is Dmitry 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 Dmitry Roth was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.