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OLITSA ROTH M.D.,
NPI 1669402061
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since July 03, 2006CLIA 33D0146454 · Certificate of Compliance
5211 15-TH AVE, BROOKLYN, NY 11219(718) 851-7444(718) 851-9594 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Olitsa Roth M.d., NPPES

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

OLITSA ROTH M.D., (NPI 1669402061) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (148687) and active in the NPI registry since July 2006. She holds a CLIA Certificate of Compliance certificate valid through January 19, 2027.

NPPES Registry Identity

NPI1669402061
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameOLITSA ROTHCredential: M.D.,
Location Address5211 15-TH AVEBrooklyn, NY 11219-3908
Mailing Address5211 15-th AvenueBrooklyn, NY 11219 · (718) 851-7444 · Fax (718) 851-9594
Phone(718) 851-7444
Fax(718) 851-9594
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateNovember 14, 2012
✔ NPI 1669402061 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 15-TH AVE, Brooklyn, NY 11219
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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: 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.

Frequently Asked Questions

What is Olitsa Roth's NPI number?

The NPI number assigned to this healthcare provider is 1669402061, enumerated as an "individual" on July 03, 2006.

Where is the provider located?

The provider is located at 5211 15-TH AVE BROOKLYN, NY 11219 and the phone number is (718) 851-7444.

What is the provider's specialty?

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.